390-CQM 2018-CCW-C Contraceptive Care – All Women Ages 15-20 (CCW-CH)

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

CQM2018 QSSI-CCW-CH

GenIC #26 (Extension) - 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 2018 - Contraceptive Care – All Women
Ages 15-20 (CCW-CH) Core Measure PRA
Document
Version 1.0
07/10/2018

Document Number: 390-CQM 2018-CCW-CH-PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Contraceptive Care – All Women Ages 15-20 (CCW-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
1.12

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

Appendix A: Acronyms................................................................................................. 9

List of Figures
Figure 1: Measurement Specifications – Path 1.............................................................. 1
Figure 2: Measurement Specifications – Path 2.............................................................. 1
Figure 3: Data Source ..................................................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................. 4
Figure 6: Performance Measure - Path 1 ........................................................................ 4
Figure 7: Performance Measure – Path 2 ....................................................................... 5
Figure 8: Deviations from Measure Specifications .......................................................... 6
Figure 9: Combined Rate(s) from Multiple Reporting Units ............................................. 7
Figure 10: Additional Notes/Comments on Measure (Optional) ...................................... 7
Figure 11: Optional Measure Stratification – Screenshot 1 ............................................. 7
Figure 12: Optional Measure Stratification – Screenshot 2 ............................................. 8

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List of Tables

List of Tables
No table of figures entries found.

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Measurement Specifications – Path 1

1. Contraceptive Care – All Women Ages 15-20 (CCWCH) 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

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1.3

Data Source

Data Source

Figure 3: Data Source

1.4

Date Range

Figure 4: Date Range

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1.5

Definition of Population Included in the Measure

Definition of Population Included in the Measure

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Performance Measure - Path 1

Figure 5: Definition of Population Included in the Measure

1.6

Performance Measure - Path 1

Figure 6: Performance Measure - Path 1

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1.7

Performance Measure - Path 2

Performance Measure - Path 2

Figure 7: Performance Measure – Path 2

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1.8

Deviations from Measure Specifications

Deviations from Measure Specifications

Figure 8: Deviations from Measure Specifications

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1.9

Combined Rate(s) from Multiple Reporting Units

Combined Rate(s) from Multiple Reporting Units

Figure 9: Combined Rate(s) from Multiple Reporting Units

1.10 Additional Notes/Comments on Measure (Optional)

Figure 10: Additional Notes/Comments on Measure (Optional)

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

Figure 11: Optional Measure Stratification – Screenshot 1

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Optional Measure Stratification – Screenshot 2

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

Figure 12: 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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