Cms-10434 #26 Cqm2017-wcc

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

QSSI-MACPro-PRA-CQM2017-WCC

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)
CQM 2017 - WCC Core Measure PRA Document
Version 1.0
08/28/2017

Document Number: 272-QSSI-MACPro-PRA-CQM2017-WCC-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. WCC Screenshots .................................................................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9

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
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 : Optional Measure Stratification – Screenshot 1 .............................................. 4
Figure 9: Optional Measure Stratification – Screenshot 2 ............................................... 5

List of Tables
No table of figures entries found.

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Measurement Specifications – Path 1

1. WCC 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

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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

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 8 : Optional Measure Stratification – Screenshot 1

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1.9

Optional Measure Stratification – Screenshot 2

Optional Measure Stratification – Screenshot 2

Figure 9: 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

WCC

Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents: Body Mass Index Assessment for
Children/Adolescents

PRA

Paperwork Reduction Act of 1995

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