Cms-10434 #26 Cqm2017-dev

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

QSSI-MACPro-PRA-CQM2017-DEV

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)
CQM 2017 - Developmental Screening in the First
Three Years of Life (DEV) Core Measure PRA
Document
Version 1.0
08/25/2017

Document Number: 306-QSSI-MACPro-PRA-CQM2017-DEV-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Developmental Screening in the First Three Years of Life (DEV) Screenshots.. 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10

Measurement Specifications – Path 1 ............................................................. 1
Measurement Specifications – Path 2 ............................................................. 1
Data Source .................................................................................................... 1
Performance Measure - Path 1 ....................................................................... 2
Performance Measure - Path 2 ....................................................................... 2
Deviations from Measure Specifications – Screenshot 1 ................................ 3
Deviations from Measure Specifications – Screenshot 2 ................................ 3
Deviations from Measure Specifications – Screenshot 3 ................................ 4
Optional Measure Stratification – Screenshot 1 .............................................. 4
Optional Measure Stratification – Screenshot 2 .............................................. 5

Appendix A: Acronyms ................................................................................................. 6

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: Performance Measure - Path 2....................................................................................................... 2
Figure 6: Deviations from Measure Specifications – Screenshot 1 ................................................................ 3
Figure 7 : Deviations from Measure Specifications – Screenshot 2 ............................................................... 3
Figure 8: Deviations from Measure Specifications – Screenshot 3 ................................................................ 4
Figure 9: Optional Measure Stratification – Screenshot 1.............................................................................. 4
Figure 10: Optional Measure Stratification – Screenshot 2............................................................................ 5

List of Tables
No table of figures entries found.

CQM 2017 - Developmental Screening in the First Three Years of Life (DEV) Core Measure PRA Document
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Measurement Specifications – Path 1

1. Developmental Screening in the First Three Years of
Life (DEV) 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 - Developmental Screening in the First Three Years of Life (DEV) Core Measure PRA Document
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1.4

Performance Measure - Path 1

Performance Measure - Path 1

Figure 4: Performance Measure - Path 1

1.5

Performance Measure - Path 2

Figure 5: Performance Measure - Path 2

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1.6

Deviations from Measure Specifications – Screenshot 1

Deviations from Measure Specifications – Screenshot 1

Figure 6: Deviations from Measure Specifications – Screenshot 1

1.7

Deviations from Measure Specifications – Screenshot 2

Figure 7 : Deviations from Measure Specifications – Screenshot 2

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1.8

Deviations from Measure Specifications – Screenshot 3

Deviations from Measure Specifications – Screenshot 3

Figure 8: Deviations from Measure Specifications – Screenshot 3

1.9

Optional Measure Stratification – Screenshot 1

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

Figure 9: Optional Measure Stratification – Screenshot 1

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Optional Measure Stratification – Screenshot 2

1.10 Optional Measure Stratification – Screenshot 2

Figure 10: Optional Measure Stratification – Screenshot 2

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Optional Measure Stratification – Screenshot 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

CQM

Child Quality Measures

PRA

Paperwork Reduction Act of 1995

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