Cms-10434 #26 Aqm2017-msc

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

QSSI-MACPro-PRA-AQM2017-MSC

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

OMB: 0938-1188

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Medical Assistance With Smoking
and Tobacco Use Cessation (MSC) Core Measure
PRA document
Version 1.0
08/30/2017

Document Number: 297-QSSI-MACPro-PRA-AQM2017-MSC-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core
Measure – Screenshots ........................................................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8

Are you reporting on this measure? ................................................................ 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 1
Data Source .................................................................................................... 1
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 3
Deviations from Measurement Specifications ................................................. 5
Optional Measure Stratification ....................................................................... 8

Appendix A:

Acronyms ....................................................................................... 11

List of Figures
Figure 1: Are you reporting on this measure? ................................................................. 1
Figure 2: Measurement Specification – 1 ........................................................................ 1
Figure 3: Measurement Specification – 2 ........................................................................ 1
Figure 4: Data Source ..................................................................................................... 1
Figure 5: Performance Measure – 1 ................................................................................ 2
Figure 6: Performance Measure – 2 ................................................................................ 2
Figure 7: Performance Measure – 3 ................................................................................ 3
Figure 8: Performance Measure – 4 ................................................................................ 3
Figure 9: Performance Measure – 5 ................................................................................ 4
Figure 10: Performance Measure – 6 .............................................................................. 4
Figure 11: Performance Measure – 7 .............................................................................. 5
Figure 12: Deviations from Measurement Specifications – 1 .......................................... 5
Figure 13: Deviations from Measurement Specifications – 2 .......................................... 6
Figure 14: Deviations from Measurement Specifications – 3 .......................................... 6
Figure 15: Deviations from Measurement Specifications – 4 .......................................... 7
Figure 16: Deviations from Measurement Specifications – 5 .......................................... 7

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List of Tables

Figure 17: Deviations from Measurement Specifications – 6 .......................................... 8
Figure 18: Deviations from Measurement Specifications – 7 .......................................... 8
Figure 19: Optional Measure Stratification – 1 ................................................................ 9
Figure 20: Optional Measure Stratification – 2 ................................................................ 9
Figure 21: Optional Measure Stratification – 3 .............................................................. 10
Figure 22: Optional Measure Stratification – 4 .............................................................. 10

List of Tables
Table 1: Acronyms ........................................................................................................ 11

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

1. Medical Assistance With Smoking and Tobacco Use
Cessation (MSC) 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 – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

1.4

Data Source

Figure 4: Data Source

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1.5

Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Performance Measure – Path 1

Figure 5: Performance Measure – 1

Figure 6: Performance Measure – 2

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 7: Performance Measure – 3

1.6

Performance Measure – Path 2

Figure 8: Performance Measure – 4

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 9: Performance Measure – 5

Figure 10: Performance Measure – 6

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 11: Performance Measure – 7

1.7

Deviations from Measurement Specifications

Figure 12: Deviations from Measurement Specifications – 1

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 13: Deviations from Measurement Specifications – 2

Figure 14: Deviations from Measurement Specifications – 3

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 15: Deviations from Measurement Specifications – 4

Figure 16: Deviations from Measurement Specifications – 5

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 17: Deviations from Measurement Specifications – 6

Figure 18: Deviations from Measurement Specifications – 7

1.8

Optional Measure Stratification

Note: Same N/D/R sets are displayed under each of the stratification categories.

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 19: Optional Measure Stratification – 1

Figure 20: Optional Measure Stratification – 2

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 21: Optional Measure Stratification – 3

Figure 22: Optional Measure Stratification – 4

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

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