Form CMS-10434 #45 CMS-10434 #45 Maternal and Infant Health

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

Medicaid and CHIP Program (MACPro)
MIHQM 2017 – CCW Core Measure PRA
document
Version 1.0
09/06/2017

Document Number: 316-QSSI-MACPro-PRA-MIHQM017-CCW-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. CCW 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 ..................................................................................... 2
Deviations from Measurement Specifications ................................................. 3
Optional Measure Stratification ....................................................................... 4

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

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 ...................................................................................... 2
Figure 6: Deviations from Measurement Specifications – Screenshot 1 ......................... 3
Figure 7: Deviations from Measurement Specifications – Screenshot 2 ......................... 4
Figure 8: Optional Measure Stratification ........................................................................ 5

List of Tables
Table 1: Acronyms .......................................................................................................... 6

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CCW Core Measure Screenshots

1. CCW 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

CCW Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

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1.6

CCW Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – Screenshot 1

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CCW Core Measure Screenshots

Figure 7: Deviations from Measurement Specifications – Screenshot 2

1.7

Optional Measure Stratification

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

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CCW Core Measure Screenshots

Figure 8: Optional Measure Stratification

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CCW Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

MIHQM

Maternal and Infant Health Quality Measures

CCW

Maternal and Infant Health Initiative Measure: Contraceptive Care - All
Women Ages 15-44

PRA

Paperwork Reduction Act of 1995

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

Medicaid and CHIP Program (MACPro)
MIHQM 2017 – Admin Screen PRA document
Version 1.0
09/06/2017

Document Number: 312-QSSI-MACPro-PRA-MIHQM017-AdminScreen-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Admin Screen Screenshots .................................................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6

Federal Fiscal Year ......................................................................................... 1
Core Measures................................................................................................ 1
Delivery System .............................................................................................. 1
Audit or Validation of Measures ...................................................................... 2
External Contractor ......................................................................................... 2
Report Documents .......................................................................................... 2

Appendix A: Acronyms ................................................................................................. 3

List of Figures
Figure 1: Federal Fiscal Year .......................................................................................... 1
Figure 2: Core Measures ................................................................................................. 1
Figure 3: Delivery System ............................................................................................... 1
Figure 4: Audit or Validation of Measures ....................................................................... 2
Figure 5: External Contractor .......................................................................................... 2
Figure 6: Report Documents ........................................................................................... 2

List of Tables
Table 1: Acronyms .......................................................................................................... 3

MIHQM 2017 – Admin Screen PRA document Version 1.0

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Admin Screen Screenshots

1. Admin Screen Screenshots
1.1

Federal Fiscal Year

Figure 1: Federal Fiscal Year

1.2

Core Measures

Figure 2: Core Measures

1.3

Delivery System

Figure 3: Delivery System

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1.4

Admin Screen Screenshots

Audit or Validation of Measures

Figure 4: Audit or Validation of Measures

1.5

External Contractor

Figure 5: External Contractor

1.6

Report Documents

Figure 6: Report Documents

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Admin Screen Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

MIHQM

Maternal and Infant Health Quality Measures

PRA

Paperwork Reduction Act of 1995

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