Cms-10434 #26 Aqm2018-iet

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

Medicaid and CHIP Program (MACPro)
AQM 2018 –IET Core Measure PRA document
Version 1.0
07/18/2018

Document Number: 437-QSSI_MACPro_IET-AD_PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. IET 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 ............................................... 10
Optional Measure Stratification ..................................................................... 13

Appendix A: Acronyms............................................................................................... 16

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 section- Path 1 screenshot 1 of 4 ................................ 3
Figure 6: Performance Measure" section- Path 1 screenshot 2 of 4 ............................... 4
Figure 7: Performance Measure" section- Path 1 screenshot 3 of 4 ............................... 5
Figure 8: Performance Measure" section- Path 1 screenshot 4 of 4 ............................... 6
Figure 9: Performance Measure" section- Path 2 screenshot 1 of 4 ............................... 7
Figure 10: Performance Measure" section- Path 2 screenshot 2 of 4 ............................. 8
Figure 11: Performance Measure" section- Path 2 screenshot 3 of 4 ............................. 9
Figure 12: Performance Measure" section- Path 2 screenshot 4 of 4 ........................... 10
Figure 13: Deviations from Measurement Specifications (1 of 3) .................................. 11
Figure 14: Deviations from Measurement Specifications (2 of 3) ................................. 12
Figure 15: Deviations from Measurement Specifications (3 of 3) ................................. 13
Figure 16: Optional Measure Stratification 1 of 3 .......................................................... 14
Figure 17: Optional Measure Stratification 2 of 3 .......................................................... 14

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List of Tables

Figure 18: Optional Measure Stratification 3 of 3 .......................................................... 15

List of Tables
Table 1: Acronyms ........................................................................................................ 16

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IET Core Measure Screenshots

1. IET 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

IET Core Measure Screenshots

Data Source

Figure 4: Data Source

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1.5

IET Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure section- Path 1 screenshot 1 of 4

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IET Core Measure Screenshots

Figure 6: Performance Measure" section- Path 1 screenshot 2 of 4

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IET Core Measure Screenshots

Figure 7: Performance Measure" section- Path 1 screenshot 3 of 4

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IET Core Measure Screenshots

Figure 8: Performance Measure" section- Path 1 screenshot 4 of 4

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IET Core Measure Screenshots

Figure 9: Performance Measure" section- Path 2 screenshot 1 of 4

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IET Core Measure Screenshots

Figure 10: Performance Measure" section- Path 2 screenshot 2 of 4

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IET Core Measure Screenshots

Figure 11: Performance Measure" section- Path 2 screenshot 3 of 4

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IET Core Measure Screenshots

Figure 12: Performance Measure" section- Path 2 screenshot 4 of 4

1.6

Deviations from Measurement Specifications

Note: Same N/D/O ‘Explain’ text boxes are applicable under each of the stratification

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IET Core Measure Screenshots

Figure 13: Deviations from Measurement Specifications (1 of 3)

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IET Core Measure Screenshots

Figure 14: Deviations from Measurement Specifications (2 of 3)

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IET Core Measure Screenshots

Figure 15: Deviations from Measurement Specifications (3 of 3)

1.7

Optional Measure Stratification

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

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IET Core Measure Screenshots

Figure 16: Optional Measure Stratification 1 of 3

Figure 17: Optional Measure Stratification 2 of 3

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IET Core Measure Screenshots

Figure 18: Optional Measure Stratification 3 of 3

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IET Core Measure Screenshots

Appendix 1: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

IET

Initiation and Engagement of Alcohol and Other Drug Dependence
Treatment

PRA

Paperwork Reduction Act of 1995

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