Cms-10434 #26 Aqm2017-ha1c

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-AQM2017-HA1C

GenIC #26 (Transfer from 0938-1148) - Medicaid Adult and Child Core Set Measures

OMB: 0938-1188

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – HA1C Core Measure PRA document
Version 1.0
08/30/2017

Document Number: 293-QSSI-MACPro-PRA-AQM017-HA1C-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HA1C 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 ..................................................................................... 2
Deviations from Measurement Specifications ................................................. 3
Optional Measure Stratification ....................................................................... 4

Appendix A: Acronyms ................................................................................................. 5

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 ...................................................................................... 2
Figure 6: Deviations from Measurement Specifications .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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HA1C Core Measure Screenshots

1. HA1C 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

HA1C Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

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1.6

HA1C Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

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1.7

HA1C Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

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HA1C Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

HA1C

Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Testing

PRA

Paperwork Reduction Act of 1995

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