Cms-10434 #26 Aqm2017-fua

Centers for Medicare & Medicaid
Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
AQM 2017 – FUA Core Measure PRA document
Version 1.0
08/29/2017

Document Number: 278-QSSI-MACPro-PRA-AQM017-FUA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. FUA Core Measure Screenshots ............................................................................ 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7

Are you reporting on this measure .................................................................. 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 1
Data Source .................................................................................................... 2
Performance Measure ..................................................................................... 3
Deviations from Measurement Specifications ................................................. 4
Optional Measure Stratification ....................................................................... 6

Appendix A: Acronyms ................................................................................................. 8

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification – Path 1................................................................ 1
Figure 3: Measurement Specification – Path 2................................................................ 1
Figure 4: Data Source ..................................................................................................... 2
Figure 5: Performance Measure ...................................................................................... 3
Figure 6: Deviations from Measurement Specifications – Screenshot 1 ......................... 4
Figure 7: Deviations from Measurement Specifications – Screenshot 2 ......................... 5
Figure 8: Optional Measure Stratification – Screenshot 1 ............................................... 6
Figure 9: Optional Measure Stratification – Screenshot 2 ............................................... 7

List of Tables
Table 1: Acronyms .......................................................................................................... 8

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FUA Core Measure Screenshots

1. FUA Core Measure Screenshots
1.1

Are you reporting on this measure

Figure 1: Are you reporting on this measure

1.2

Measurement Specification – Path 1

Figure 2: Measurement Specification – Path 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – Path 2

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1.4

FUA Core Measure Screenshots

Data Source

Figure 4: Data Source

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1.5

FUA Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure

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1.6

FUA Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – Screenshot 1

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FUA Core Measure Screenshots

Figure 7: Deviations from Measurement Specifications – Screenshot 2

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1.7

FUA Core Measure Screenshots

Optional Measure Stratification

Note: Same N/D/R sets are applicable under each of the stratification

Figure 8: Optional Measure Stratification – Screenshot 1

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FUA Core Measure Screenshots

Figure 9: Optional Measure Stratification – Screenshot 2

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FUA Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

FUA

Follow-Up After Emergency Department Visit for Mental Illness or Alcohol
and Other Drug Dependence

PRA

Paperwork Reduction Act of 1995

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