Cms-10434 #26 Cqm2018-seal-ch

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

Medicaid and CHIP Program (MACPro)
CQM 2018 - Dental Sealants for 6-9 Year Old
Children at Elevated Caries Risk (SEAL-CH) Core
Measure PRA Document
Version 1.0
06/29/2018

Document Number: 419-CQM 2018-SEAL-CH-PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk (SEAL-CH)
Screenshots ............................................................................................................. 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11

Measurement Specifications – Path 1 ............................................................. 1
Measurement Specifications – Path 2 ............................................................. 1
Data Source .................................................................................................... 1
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Performance Measure ..................................................................................... 4
Deviations from Measure Specifications ......................................................... 4
Combined Rate(s) from Multiple Reporting Units ............................................ 4
Additional Notes/Comments on Measure (Optional) ....................................... 5
Optional Measure Stratification – Screenshot 1 .............................................. 5
Optional Measure Stratification – Screenshot 2 .............................................. 6

Appendix A: Acronyms ................................................................................................. 7

List of Figures
Figure 1: Measurement Specifications – Path 1 .............................................................. 1
Figure 2: Measurement Specifications – Path 2 .............................................................. 1
Figure 3: Data Source ..................................................................................................... 1
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................. 3
Figure 6: Performance Measure ...................................................................................... 4
Figure 7: Deviations from Measure Specifications .......................................................... 4
Figure 8: Combined Rate(s) from Multiple Reporting Units ............................................. 4
Figure 9: Additional Notes/Comments on Measure (Optional) ........................................ 5
Figure 10: Optional Measure Stratification – Screenshot 1 ............................................. 5
Figure 11: Optional Measure Stratification – Screenshot 2 ............................................. 6

List of Tables
No table of figures entries found.

CQM 2018 - Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk (SEAL-CH) Core Measure PRA Document
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Measurement Specifications – Path 1

1. Dental Sealants for 6-9 Year Old Children at Elevated
Caries Risk (SEAL-CH) 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 2018 - Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk (SEAL-CH) Core Measure PRA Document
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1.4

Date Range

Date Range

Figure 4: Date Range

CQM 2018 - Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk (SEAL-CH) Core Measure PRA Document
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1.5

Definition of Population Included in the Measure

Definition of Population Included in the Measure

Figure 5: Definition of Population Included in the Measure

CQM 2018 - Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk (SEAL-CH) Core Measure PRA Document
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1.6

Performance Measure

Performance Measure

Figure 6: Performance Measure

1.7

Deviations from Measure Specifications

Figure 7: Deviations from Measure Specifications

1.8

Combined Rate(s) from Multiple Reporting Units

Figure 8: Combined Rate(s) from Multiple Reporting Units

CQM 2018 - Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk (SEAL-CH) Core Measure PRA Document
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1.9

Additional Notes/Comments on Measure (Optional)

Additional Notes/Comments on Measure (Optional)

Figure 9: Additional Notes/Comments on Measure (Optional)

1.10 Optional Measure Stratification – Screenshot 1
Note: Same N/D/R sets are displayed under each of the stratification categories

Figure 10: Optional Measure Stratification – Screenshot 1

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Optional Measure Stratification – Screenshot 2

1.11 Optional Measure Stratification – Screenshot 2
Note: Same N/D/R sets are displayed under each of the stratification categories

Figure 11: 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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