Cms-10434 #26 Cqm2017-awc

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

Medicaid and CHIP Program (MACPro)
CQM 2017 - Adolescent Well-Care Visit (AWC)
Core Measure PRA Document
Version 1.0
08/25/2017

Document Number: 262-QSSI-MACPro-PRA-CQM2017-AWC-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Adolescent Well-Care Visit (AWC) Screenshots ................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7

Measurement Specifications – Path 1 ............................................................. 1
Measurement Specifications – Path 2 ............................................................. 1
Data Source .................................................................................................... 1
Performance Measure ..................................................................................... 2
Deviations from Measure Specifications ......................................................... 2
Optional Measure Stratification – Screenshot 1 .............................................. 3
Optional Measure Stratification – Screenshot 2 .............................................. 3

Appendix A: Acronyms ................................................................................................. 4

List of Figures
Figure 1: Measurement Specifications – Path 1 .............................................................. 1
Figure 2: Measurement Specifications – Path 2 .............................................................. 1
Figure 3 : Data Source .................................................................................................... 1
Figure 4: Performance Measure - Path 1 ........................................................................ 2
Figure 5: Deviations from Measure Specifications .......................................................... 2
Figure 6 : Optional Measure Stratification – Screenshot 1 .............................................. 3
Figure 7: Optional Measure Stratification – Screenshot 2 ............................................... 3

List of Tables
No table of figures entries found.

CQM 2017 - Adolescent Well-Care Visit (AWC) Core Measure PRA Document Version
1.0
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08/25/2017

CMS XLC

Measurement Specifications – Path 1

1. Adolescent Well-Care Visit (AWC) Screenshots
1.1

Measurement Specifications – Path 1

Figure 1: Measurement Specifications – Path 1

1.2

Measurement Specifications – Path 2

Figure 2: Measurement Specifications – Path 2

1.3

Data Source

Figure 3 : Data Source

CQM 2017 - Adolescent Well-Care Visit (AWC) Core Measure PRA Document Version
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1.4

Performance Measure

Performance Measure

Figure 4: Performance Measure - Path 1

1.5

Deviations from Measure Specifications

Figure 5: Deviations from Measure Specifications

CQM 2017 - Adolescent Well-Care Visit (AWC) Core Measure PRA Document Version
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1.6

Optional Measure Stratification – Screenshot 1

Optional Measure Stratification – Screenshot 1

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

Figure 6 : Optional Measure Stratification – Screenshot 1

1.7

Optional Measure Stratification – Screenshot 2

Figure 7: Optional Measure Stratification – Screenshot 2

CQM 2017 - Adolescent Well-Care Visit (AWC) Core Measure PRA Document Version
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08/25/2017

CMS XLC

Optional Measure Stratification – Screenshot 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

CQM

Child Quality Measures

PRA

Paperwork Reduction Act of 1995

CQM 2017 - Adolescent Well-Care Visit (AWC) Core Measure PRA Document Version
1.0
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08/25/2017