429-AQM 2018 ABA-A AQM 2018 – Adult Body Mass Index Assessment (ABA) Core M

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

AQM2017

GenIC #26 (Extension) - Medicaid Adult and Child Core Set Measures

OMB: 0938-1188

Document [pdf]
Download: pdf | pdf
Centers for Medicare & Medicaid
Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
AQM 2017 – Contraceptive Care - Postpartum
Women Ages 21-44 (CCP) Core Measure PRA
document
Version 1.0
08/24/2017

Document Number: 259-QSSI-MACPro-PRA-AQM017-CCP-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Controlling High Blood Pressure (CBP) 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 .................................................. 3
Figure 7: Optional Measure Stratification – Screenshot 1 ............................................... 4
Figure 8: Optional Measure Stratification – Screenshot 2 ............................................... 5

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

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Controlling High Blood Pressure (CBP) Core Measure Screenshots

1. Controlling High Blood Pressure (CBP) 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

AQM 2017 – Contraceptive Care - Postpartum Women Ages 21-44 (CCP) Core Measure PRA document Version
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1.4

Controlling High Blood Pressure (CBP) Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

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1.6

Controlling High Blood Pressure (CBP) Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – Contraceptive Care - Postpartum Women Ages 21-44 (CCP) Core Measure PRA document Version
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1.7

Controlling High Blood Pressure (CBP) Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification – Screenshot 1

AQM 2017 – Contraceptive Care - Postpartum Women Ages 21-44 (CCP) Core Measure PRA document Version
1.0
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Controlling High Blood Pressure (CBP) Core Measure Screenshots

Figure 8: Optional Measure Stratification – Screenshot 2

AQM 2017 – Contraceptive Care - Postpartum Women Ages 21-44 (CCP) Core Measure PRA document Version
1.0
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Controlling High Blood Pressure (CBP) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Contraceptive Care - Postpartum Women Ages 21-44 (CCP) Core Measure PRA document Version
1.0
6

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Adult Body Mass Index Assessment
(ABA) Core Measure PRA document
Version 1.0
08/24/2017

Document Number: 255-QSSI-MACPro-PRA-AQM017-ABA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Adult Body Mass Index Assessment (ABA) 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 ................................................................................................. 5

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Are you reporting on this measure?

1. Adult Body Mass Index Assessment (ABA) 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

Data Source

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 – Adult Body Mass Index Assessment (ABA) Core Measure PRA document Version
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1.6

Deviations from Measurement Specifications

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – Adult Body Mass Index Assessment (ABA) Core Measure PRA document Version
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1.7

Optional Measure Stratification

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

AQM 2017 – Adult Body Mass Index Assessment (ABA) Core Measure PRA document Version
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Optional Measure Stratification

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Adult Body Mass Index Assessment (ABA) Core Measure PRA document Version
1.0
5

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Admin Screen PRA document
Version 1.0
08/24/2017

Document Number: 254-QSSI-MACPro-PRA-AQM017-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................................................................................................ 2
Delivery System .............................................................................................. 3
Audit or Validation of Measures ...................................................................... 3
External Contractor ......................................................................................... 3
Report Documents .......................................................................................... 4

Appendix A: Acronyms ................................................................................................. 5

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

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Federal Fiscal Year

1. Admin Screen Screenshots
1.1

Federal Fiscal Year

Figure 1: Federal Fiscal Year

AQM 2017 – Admin Screen PRA document Version 1.0

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1.2

Core Measures

Core Measures

Figure 2: Core Measures

AQM 2017 – Admin Screen PRA document Version 1.0

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1.3

Delivery System

Delivery System

Figure 3: Delivery System

1.4

Audit or Validation of Measures

Figure 4: Audit or Validation of Measures

1.5

External Contractor

Figure 5: External Contractor

AQM 2017 – Admin Screen PRA document Version 1.0

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1.6

Report Documents

Report Documents

Figure 6: Report Documents

AQM 2017 – Admin Screen PRA document Version 1.0

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Report Documents

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Admin Screen PRA document Version 1.0

5

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Antidepressant Medication
Management (AMM) Core Measure PRA document
Version 1.0
08/24/2017

Document Number: 256-QSSI-MACPro-PRA-AQM017-AMM-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Antidepressant Medication Management (AMM) 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 ..................................................................................... 3
Deviations from Measurement Specifications ................................................. 4
Optional Measure Stratification ....................................................................... 6

Appendix A: Acronyms ................................................................................................. 8

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

List of Tables
Table 1: Acronyms .......................................................................................................... 8

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Antidepressant Medication Management (AMM) Core Measure Screenshots

1. Antidepressant Medication Management (AMM)
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

Antidepressant Medication Management (AMM) Core Measure Screenshots

Data Source

Figure 4: Data Source

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1.5

Antidepressant Medication Management (AMM) Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure

AQM 2017 – Antidepressant Medication Management (AMM) Core Measure PRA document Version
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1.6

Antidepressant Medication Management (AMM) Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – Screenshot 1

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Antidepressant Medication Management (AMM) Core Measure Screenshots

Figure 7: Deviations from Measurement Specifications – Screenshot 2

AQM 2017 – Antidepressant Medication Management (AMM) Core Measure PRA document Version
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1.7

Antidepressant Medication Management (AMM) Core Measure Screenshots

Optional Measure Stratification

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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Antidepressant Medication Management (AMM) Core Measure Screenshots

Figure 9: Optional Measure Stratification – Screenshot 2

AQM 2017 – Antidepressant Medication Management (AMM) Core Measure PRA document Version
1.0
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CMS XLC

Antidepressant Medication Management (AMM) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Antidepressant Medication Management (AMM) Core Measure PRA document Version
1.0
8

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Breast Cancer Screening (BCS) Core
Measure PRA document
Version 1.0
08/24/2017

Document Number: 257-QSSI-MACPro-PRA-AQM017-BCS-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Breast Cancer Screening (BCS) 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 ....................................................................... 3

Appendix A: Acronyms ................................................................................................. 5

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Breast Cancer Screening (BCS) Core Measure Screenshots

1. Breast Cancer Screening (BCS) 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

AQM 2017 – Breast Cancer Screening (BCS) Core Measure PRA document Version
1.0
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1.4

Breast Cancer Screening (BCS) Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 – Breast Cancer Screening (BCS) Core Measure PRA document Version
1.0
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1.6

Breast Cancer Screening (BCS) Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

1.7

Optional Measure Stratification

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

AQM 2017 – Breast Cancer Screening (BCS) Core Measure PRA document Version
1.0
3

08/24/2017

CMS XLC

Breast Cancer Screening (BCS) Core Measure Screenshots

Figure 7: Optional Measure Stratification

AQM 2017 – Breast Cancer Screening (BCS) Core Measure PRA document Version
1.0
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08/24/2017

CMS XLC

Breast Cancer Screening (BCS) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Breast Cancer Screening (BCS) Core Measure PRA document Version
1.0
5

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Controlling High Blood Pressure
(CBP) Core Measure PRA document
Version 1.0
08/24/2017

Document Number: 258-QSSI-MACPro-PRA-AQM017-CBP-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Controlling High Blood Pressure (CBP) 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 ....................................................................... 3

Appendix A: Acronyms ................................................................................................. 5

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Controlling High Blood Pressure (CBP) Core Measure Screenshots

1. Controlling High Blood Pressure (CBP) 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

AQM 2017 – Controlling High Blood Pressure (CBP) Core Measure PRA document Version
1.0
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CMS XLC

1.4

Controlling High Blood Pressure (CBP) Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 – Controlling High Blood Pressure (CBP) Core Measure PRA document Version
1.0
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1.6

Controlling High Blood Pressure (CBP) Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

1.7

Optional Measure Stratification

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

AQM 2017 – Controlling High Blood Pressure (CBP) Core Measure PRA document Version
1.0
3

08/24/2017

CMS XLC

Controlling High Blood Pressure (CBP) Core Measure Screenshots

Figure 7: Optional Measure Stratification

AQM 2017 – Controlling High Blood Pressure (CBP) Core Measure PRA document Version
1.0
4

08/24/2017

CMS XLC

Controlling High Blood Pressure (CBP) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Controlling High Blood Pressure (CBP) Core Measure PRA document Version
1.0
5

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Cervical Cancer Screening (CCS)
Core Measure PRA document
Version 1.0
08/24/2017

Document Number: 274-QSSI-MACPro-PRA-AQM017-CCS-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Cervical Cancer Screening (CCS) 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 ....................................................................... 3

Appendix A: Acronyms ................................................................................................. 4

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

AQM 2017 – Cervical Cancer Screening (CCS) Core Measure PRA document Version
1.0
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Cervical Cancer Screening (CCS) Core Measure Screenshots

1. Cervical Cancer Screening (CCS) 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

AQM 2017 – Cervical Cancer Screening (CCS) Core Measure PRA document Version
1.0
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CMS XLC

1.4

Cervical Cancer Screening (CCS) Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 – Cervical Cancer Screening (CCS) Core Measure PRA document Version
1.0
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1.6

Cervical Cancer Screening (CCS) Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

1.7

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification
AQM 2017 – Cervical Cancer Screening (CCS) Core Measure PRA document Version
1.0
3

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CMS XLC

Cervical Cancer Screening (CCS) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Cervical Cancer Screening (CCS) Core Measure PRA document Version
1.0
4

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Screening for Clinical Depression
and Follow-Up Plan (CDF) Core Measure PRA
document
Version 1.0
08/29/2017

Document Number: 275-QSSI-MACPro-PRA-AQM017-CDF-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Cervical Cancer Screening (CCS) 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

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
No table of figures entries found.

AQM 2017 – Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure PRA document Version
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Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure Screenshots

1. Screening for Clinical Depression and Follow-Up
Plan (CDF) 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

AQM 2017 – Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure PRA document Version
1.0
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1.4

Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 – Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure PRA document Version
1.0
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1.6

Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure PRA document Version
1.0
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CMS XLC

1.7

Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

AQM 2017 – Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure PRA document Version
1.0
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CMS XLC

Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Screening for Clinical Depression and Follow-Up Plan (CDF) Core Measure PRA document Version
1.0
5

08/29/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Chlamydia Screening in Women
Ages 21-24 (CHL) Core Measure PRA document
Version 1.0
08/29/2017

Document Number: 276-QSSI-MACPro-PRA-AQM017-CHL-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Chlamydia Screening in Women Ages 21-24 (CHL) 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 ................................................. 2
Optional Measure Stratification ....................................................................... 3

Appendix A: Acronyms ................................................................................................. 4

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 .................................................. 2
Figure 7: Optional Measure Stratification ........................................................................ 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

AQM 2017 – Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure PRA document
Version 1.0
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Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure Screenshots

1. Chlamydia Screening in Women Ages 21-24 (CHL)
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

AQM 2017 – Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure PRA document
Version 1.0
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1.4

Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

1.6

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure PRA document
Version 1.0
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Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

AQM 2017 – Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure PRA document
Version 1.0
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Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Chlamydia Screening in Women Ages 21-24 (CHL) Core Measure PRA document
Version 1.0
4

08/29/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – CPA Core Measure PRA document
Version 1.0
08/29/2017

Document Number: 277-QSSI-MACPro-PRA-AQM017-CPA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. CPA Core Measure Screenshots ............................................................................ 1
1.1
1.2
1.3
1.4
1.5

Did you collect this measure ........................................................................... 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 1
Data Source .................................................................................................... 2
Definition of Population Included in the Measure ............................................ 2

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

List of Figures
Figure 1: Did you collect this measure ............................................................................ 1
Figure 2: Measurement Specification – Path 1................................................................ 1
Figure 3: Measurement Specification – Path 2................................................................ 1
Figure 4: Data Source ..................................................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................. 2

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

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CPA Core Measure Screenshots

1. CPA Core Measure Screenshots
1.1

Did you collect this measure

Figure 1: Did you collect 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

AQM 2017 – CPA Core Measure PRA document Version 1.0

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1.4

CPA Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Definition of Population Included in the Measure

Figure 5: Definition of Population Included in the Measure

AQM 2017 – CPA Core Measure PRA document Version 1.0

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CPA Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

CPA

Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
Health Plan Survey, Version 5.0H, Adult Version (Medicaid)

PRA

Paperwork Reduction Act of 1995

AQM 2017 – CPA Core Measure PRA document Version 1.0

3

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – FUA Core Measure PRA document
Version 1.0
08/29/2017

Document Number: 278-QSSI-MACPro-PRA-AQM017-FUA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. FUA 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 ..................................................................................... 3
Deviations from Measurement Specifications ................................................. 4
Optional Measure Stratification ....................................................................... 6

Appendix A: Acronyms ................................................................................................. 8

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

List of Tables
Table 1: Acronyms .......................................................................................................... 8

AQM 2017 – FUA Core Measure PRA document Version 1.0

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FUA Core Measure Screenshots

1. FUA 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

AQM 2017 – FUA Core Measure PRA document Version 1.0

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1.4

FUA Core Measure Screenshots

Data Source

Figure 4: Data Source

AQM 2017 – FUA Core Measure PRA document Version 1.0

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1.5

FUA Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure

AQM 2017 – FUA Core Measure PRA document Version 1.0

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1.6

FUA Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – Screenshot 1

AQM 2017 – FUA Core Measure PRA document Version 1.0

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FUA Core Measure Screenshots

Figure 7: Deviations from Measurement Specifications – Screenshot 2

AQM 2017 – FUA Core Measure PRA document Version 1.0

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1.7

FUA Core Measure Screenshots

Optional Measure Stratification

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

Figure 8: Optional Measure Stratification – Screenshot 1

AQM 2017 – FUA Core Measure PRA document Version 1.0

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FUA Core Measure Screenshots

Figure 9: Optional Measure Stratification – Screenshot 2

AQM 2017 – FUA Core Measure PRA document Version 1.0

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FUA Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

FUA

Follow-Up After Emergency Department Visit for Mental Illness or Alcohol
and Other Drug Dependence

PRA

Paperwork Reduction Act of 1995

AQM 2017 – FUA Core Measure PRA document Version 1.0

8

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – FUH Core Measure PRA document
Version 1.0
08/30/2017

Document Number: 291-QSSI-MACPro-PRA-AQM017-FUH-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. FUH 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 ..................................................................................... 3
Deviations from Measurement Specifications ................................................. 4
Optional Measure Stratification ....................................................................... 6

Appendix A: Acronyms ................................................................................................. 8

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

List of Tables
Table 1: Acronyms .......................................................................................................... 8

AQM 2017 – FUH Core Measure PRA document Version 1.0

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FUH Core Measure Screenshots

1. FUH 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

AQM 2017 – FUH Core Measure PRA document Version 1.0

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1.4

FUH Core Measure Screenshots

Data Source

Figure 4: Data Source

AQM 2017 – FUH Core Measure PRA document Version 1.0

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1.5

FUH Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure

AQM 2017 – FUH Core Measure PRA document Version 1.0

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1.6

FUH Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – Screenshot 1

AQM 2017 – FUH Core Measure PRA document Version 1.0

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FUH Core Measure Screenshots

Figure 7: Deviations from Measurement Specifications – Screenshot 2

AQM 2017 – FUH Core Measure PRA document Version 1.0

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1.7

FUH Core Measure Screenshots

Optional Measure Stratification

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

Figure 8: Optional Measure Stratification – Screenshot 1

AQM 2017 – FUH Core Measure PRA document Version 1.0

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FUH Core Measure Screenshots

Figure 9: Optional Measure Stratification – Screenshot 2

AQM 2017 – FUH Core Measure PRA document Version 1.0

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FUH Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

FUH

Follow-Up After Hospitalization for Mental Illness: Age 21 and Older

PRA

Paperwork Reduction Act of 1995

AQM 2017 – FUH Core Measure PRA document Version 1.0

8

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – Flu Vaccinations for Adults Ages 18
to 64 (FVA) Core Measure PRA document
Version 1.0
08/30/2017

Document Number: 292-QSSI-MACPro-PRA-AQM017-FVA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Flu Vaccinations for Adults Ages 18 to 64 (FVA) 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 .................................................................................................... 1
Performance Measure ..................................................................................... 2
Deviations from Measurement Specifications ................................................. 2
Optional Measure Stratification ....................................................................... 3

Appendix A: Acronyms ................................................................................................. 4

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 ..................................................................................................... 1
Figure 5: Performance Measure ...................................................................................... 2
Figure 6: Deviations from Measurement Specifications .................................................. 2
Figure 7: Optional Measure Stratification ........................................................................ 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
1.0
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Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

1. Flu Vaccinations for Adults Ages 18 to 64 (FVA)
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

1.4

Data Source

Figure 4: Data Source

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
1.0
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1.5

Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure

1.6

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
1.0
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1.7

Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
1.0
3

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Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

AQM 2017 – Flu Vaccinations for Adults Ages 18 to 64 (FVA) Core Measure PRA document Version
1.0
4

08/30/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – HA1C Core Measure PRA document
Version 1.0
08/30/2017

Document Number: 293-QSSI-MACPro-PRA-AQM017-HA1C-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HA1C 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 ................................................................................................. 5

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

AQM 2017 – HA1C Core Measure PRA document Version 1.0

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HA1C Core Measure Screenshots

1. HA1C 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

AQM 2017 – HA1C Core Measure PRA document Version 1.0

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1.4

HA1C Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 – HA1C Core Measure PRA document Version 1.0

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1.6

HA1C Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – HA1C Core Measure PRA document Version 1.0

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1.7

HA1C Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

AQM 2017 – HA1C Core Measure PRA document Version 1.0

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HA1C Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

HA1C

Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Testing

PRA

Paperwork Reduction Act of 1995

AQM 2017 – HA1C Core Measure PRA document Version 1.0

5

08/30/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – HPC Core Measure PRA document
Version 1.0
08/30/2017

Document Number: 294-QSSI-MACPro-PRA-AQM017-HPC-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HPC 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 ................................................................................................. 5

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

AQM 2017 – HPC Core Measure PRA document Version 1.0

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HPC Core Measure Screenshots

1. HPC 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

AQM 2017 – HPC Core Measure PRA document Version 1.0

1

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1.4

HPC Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 – HPC Core Measure PRA document Version 1.0

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1.6

HPC Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 – HPC Core Measure PRA document Version 1.0

3

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1.7

HPC Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

AQM 2017 – HPC Core Measure PRA document Version 1.0

4

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HPC Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

HPC

Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control
(>9.0%)

PRA

Paperwork Reduction Act of 1995

AQM 2017 – HPC Core Measure PRA document Version 1.0

5

08/30/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 –HPCMI Core Measure PRA document
Version 1.0
08/30/2017

Document Number: 300-QSSI-MACPro-PRA-AQM017-HPCMI-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HPCMI 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 ................................................................................................. 5

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

AQM 2017 –HPCMI Core Measure PRA document Version 1.0

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HPCMI Core Measure Screenshots

1. HPCMI 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

AQM 2017 –HPCMI Core Measure PRA document Version 1.0

1

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1.4

HPCMI Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

AQM 2017 –HPCMI Core Measure PRA document Version 1.0

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1.6

HPCMI Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 –HPCMI Core Measure PRA document Version 1.0

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1.7

HPCMI Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

AQM 2017 –HPCMI Core Measure PRA document Version 1.0

4

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CMS XLC

HPCMI Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

HPCMI

Diabetes Care for People with Serious Mental Illness: Hemoglobin A1c
(HbA1c) Poor Control (>9.0%)

PRA

Paperwork Reduction Act of 1995

AQM 2017 –HPCMI Core Measure PRA document Version 1.0

5

08/30/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 – HIV Viral Load Suppression (HVL)
Core Measure PRA document
Version 1.0
08/31/2017

Document Number: 303-QSSI-MACPro-PRA-AQM017-HVL-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HIV Viral Load Suppression (HVL) 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 ................................................................................................. 5

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 .................................................. 3
Figure 7: Optional Measure Stratification ........................................................................ 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

AQM 2017 – HIV Viral Load Suppression (HVL) Core Measure PRA document Version
1.0
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HIV Viral Load Suppression (HVL) Core Measure Screenshots

1. HIV Viral Load Suppression (HVL) 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

HIV Viral Load Suppression (HVL) Core Measure Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

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1.6

HIV Viral Load Suppression (HVL) Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

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1.7

HIV Viral Load Suppression (HVL) Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

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HIV Viral Load Suppression (HVL) Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

PRA

Paperwork Reduction Act of 1995

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1.0
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Centers for Medicare & Medicaid
Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
AQM 2017 –IET Core Measure PRA document
Version 1.0
08/31/2017

Document Number: 305-QSSI-MACPro-PRA-AQM017-IET-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. IET 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 ..................................................................................... 3
Deviations from Measurement Specifications ................................................. 4
Optional Measure Stratification ....................................................................... 5

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 ...................................................................................... 3
Figure 6: Deviations from Measurement Specifications .................................................. 4
Figure 7: Optional Measure Stratification ........................................................................ 5

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

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IET Core Measure Screenshots

1. IET 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

IET Core Measure Screenshots

Data Source

Figure 4: Data Source

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1.5

IET Core Measure Screenshots

Performance Measure

Figure 5: Performance Measure

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1.6

IET Core Measure Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

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1.7

IET Core Measure Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification

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IET Core Measure Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

AQM

Adult Quality Measures

IET

Initiation and Engagement of Alcohol and Other Drug Dependence
Treatment

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)
AQM 2017 - Annual Monitoring for Patients on
Persistent Medications (MPM) Core Measure PRA
document
Version 1.0
08/30/2017

Document Number: 296-QSSI-MACPro-PRA-AQM2017-MPM-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure
– Screenshots .......................................................................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8

Are you reporting on this measure? ................................................................ 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 1
Data Source .................................................................................................... 2
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 4
Deviations from Measurement Specifications ................................................. 6
Optional Measure Stratification ....................................................................... 9

Appendix A:

Acronyms ....................................................................................... 12

List of Figures
Figure 1: Are you reporting on this measure? ................................................................. 1
Figure 2: Measurement Specification – 1 ........................................................................ 1
Figure 3: Measurement Specification – 2 ........................................................................ 1
Figure 4: Data Source ..................................................................................................... 2
Figure 5: Performance Measure – 1 ................................................................................ 2
Figure 6: Performance Measure – 2 ................................................................................ 3
Figure 7: Performance Measure – 3 ................................................................................ 3
Figure 8: Performance Measure – 4 ................................................................................ 4
Figure 9: Performance Measure – 5 ................................................................................ 4
Figure 10: Performance Measure – 6 .............................................................................. 5
Figure 11: Performance Measure – 7 .............................................................................. 5
Figure 12: Deviations from Measurement Specifications – 1 .......................................... 6
Figure 13: Deviations from Measurement Specifications – 2 .......................................... 6
Figure 14: Deviations from Measurement Specifications – 3 .......................................... 7
Figure 15: Deviations from Measurement Specifications – 4 .......................................... 7
Figure 16: Deviations from Measurement Specifications – 5 .......................................... 8

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List of Tables

Figure 17: Deviations from Measurement Specifications – 6 .......................................... 8
Figure 18: Deviations from Measurement Specifications – 7 .......................................... 9
Figure 19: Optional Measure Stratification – 1 ................................................................ 9
Figure 20: Optional Measure Stratification – 2 .............................................................. 10
Figure 21: Optional Measure Stratification – 3 .............................................................. 10
Figure 22: Optional Measure Stratification – 4 .............................................................. 11

List of Tables
Table 1: Acronyms ........................................................................................................ 12

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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

1. Annual Monitoring for Patients on Persistent
Medications (MPM) 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 – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

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Version 1.0
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1.4

Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure – Path 1

Figure 5: Performance Measure – 1

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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Figure 6: Performance Measure – 2

Figure 7: Performance Measure – 3

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1.6

Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Performance Measure – Path 2

Figure 8: Performance Measure – 4

Figure 9: Performance Measure – 5

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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Figure 10: Performance Measure – 6

Figure 11: Performance Measure – 7

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1.7

Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Deviations from Measurement Specifications

Figure 12: Deviations from Measurement Specifications – 1

Figure 13: Deviations from Measurement Specifications – 2

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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Figure 14: Deviations from Measurement Specifications – 3

Figure 15: Deviations from Measurement Specifications – 4

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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Figure 16: Deviations from Measurement Specifications – 5

Figure 17: Deviations from Measurement Specifications – 6

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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Figure 18: Deviations from Measurement Specifications – 7

1.8

Optional Measure Stratification

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

Figure 19: Optional Measure Stratification – 1

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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Figure 20: Optional Measure Stratification – 2

Figure 21: Optional Measure Stratification – 3

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Version 1.0
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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Figure 22: Optional Measure Stratification – 4

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Version 1.0
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Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Annual Monitoring for Patients on Persistent Medications (MPM) Core Measure PRA document
Version 1.0
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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
AQM 2017 - Medical Assistance With Smoking
and Tobacco Use Cessation (MSC) Core Measure
PRA document
Version 1.0
08/30/2017

Document Number: 297-QSSI-MACPro-PRA-AQM2017-MSC-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core
Measure – Screenshots ........................................................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8

Are you reporting on this measure? ................................................................ 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 1
Data Source .................................................................................................... 1
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 3
Deviations from Measurement Specifications ................................................. 5
Optional Measure Stratification ....................................................................... 8

Appendix A:

Acronyms ....................................................................................... 11

List of Figures
Figure 1: Are you reporting on this measure? ................................................................. 1
Figure 2: Measurement Specification – 1 ........................................................................ 1
Figure 3: Measurement Specification – 2 ........................................................................ 1
Figure 4: Data Source ..................................................................................................... 1
Figure 5: Performance Measure – 1 ................................................................................ 2
Figure 6: Performance Measure – 2 ................................................................................ 2
Figure 7: Performance Measure – 3 ................................................................................ 3
Figure 8: Performance Measure – 4 ................................................................................ 3
Figure 9: Performance Measure – 5 ................................................................................ 4
Figure 10: Performance Measure – 6 .............................................................................. 4
Figure 11: Performance Measure – 7 .............................................................................. 5
Figure 12: Deviations from Measurement Specifications – 1 .......................................... 5
Figure 13: Deviations from Measurement Specifications – 2 .......................................... 6
Figure 14: Deviations from Measurement Specifications – 3 .......................................... 6
Figure 15: Deviations from Measurement Specifications – 4 .......................................... 7
Figure 16: Deviations from Measurement Specifications – 5 .......................................... 7

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List of Tables

Figure 17: Deviations from Measurement Specifications – 6 .......................................... 8
Figure 18: Deviations from Measurement Specifications – 7 .......................................... 8
Figure 19: Optional Measure Stratification – 1 ................................................................ 9
Figure 20: Optional Measure Stratification – 2 ................................................................ 9
Figure 21: Optional Measure Stratification – 3 .............................................................. 10
Figure 22: Optional Measure Stratification – 4 .............................................................. 10

List of Tables
Table 1: Acronyms ........................................................................................................ 11

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

1. Medical Assistance With Smoking and Tobacco Use
Cessation (MSC) 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 – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

1.4

Data Source

Figure 4: Data Source

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1.5

Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Performance Measure – Path 1

Figure 5: Performance Measure – 1

Figure 6: Performance Measure – 2

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 7: Performance Measure – 3

1.6

Performance Measure – Path 2

Figure 8: Performance Measure – 4

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 9: Performance Measure – 5

Figure 10: Performance Measure – 6

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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 11: Performance Measure – 7

1.7

Deviations from Measurement Specifications

Figure 12: Deviations from Measurement Specifications – 1

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Version 1.0
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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 13: Deviations from Measurement Specifications – 2

Figure 14: Deviations from Measurement Specifications – 3

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Version 1.0
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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 15: Deviations from Measurement Specifications – 4

Figure 16: Deviations from Measurement Specifications – 5

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Version 1.0
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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 17: Deviations from Measurement Specifications – 6

Figure 18: Deviations from Measurement Specifications – 7

1.8

Optional Measure Stratification

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

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Version 1.0
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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 19: Optional Measure Stratification – 1

Figure 20: Optional Measure Stratification – 2

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Version 1.0
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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Figure 21: Optional Measure Stratification – 3

Figure 22: Optional Measure Stratification – 4

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Version 1.0
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Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Medical Assistance With Smoking and Tobacco Use Cessation (MSC) Core Measure PRA document
Version 1.0
11

08/30/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017- Use of Opioids at High Dosage in
Persons without Cancer (OHD) Core Measure
PRA document
Version 1.0
08/30/2017

Document Number: 298-QSSI-MACPro-PRA-AQM2017-OHD-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Use of Opioids at High Dosage in Persons without Cancer (OHD) 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 ............................................................................. 1
Data Source .................................................................................................... 1
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 2
Deviations from Measurement Specifications ................................................. 3
Optional Measure Stratification ....................................................................... 4

Appendix A:

Acronyms ......................................................................................... 5

List of Figures
Figure 1: Are you reporting on this measure? ................................................................. 1
Figure 2: Measurement Specification .............................................................................. 1
Figure 3: Data Source ..................................................................................................... 1
Figure 4: Performance Measure – 1 ................................................................................ 2
Figure 5: Performance Measure – 2 ................................................................................ 2
Figure 6: Deviations from Measurement Specifications – 1 ............................................ 3
Figure 7: Deviations from Measurement Specifications – 2 ............................................ 3
Figure 8: Optional Measure Stratification – 1 .................................................................. 4
Figure 9: Optional Measure Stratification – 2 .................................................................. 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Use of Opioids at High Dosage in Persons without Cancer (OHD) Core Measure – Screenshots

1. Use of Opioids at High Dosage in Persons without
Cancer (OHD) Core Measure – Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure?

1.2

Measurement Specification

Figure 2: Measurement Specification

1.3

Data Source

Figure 3: Data Source

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1.4

Use of Opioids at High Dosage in Persons without Cancer (OHD) Core Measure – Screenshots

Performance Measure – Path 1

Figure 4: Performance Measure – 1

1.5

Performance Measure – Path 2

Figure 5: Performance Measure – 2

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1.6

Use of Opioids at High Dosage in Persons without Cancer (OHD) Core Measure – Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – 1

Figure 7: Deviations from Measurement Specifications – 2

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Version 1.0
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1.7

Use of Opioids at High Dosage in Persons without Cancer (OHD) Core Measure – Screenshots

Optional Measure Stratification

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

Figure 8: Optional Measure Stratification – 1

Figure 9: Optional Measure Stratification – 2

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Version 1.0
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Use of Opioids at High Dosage in Persons without Cancer (OHD) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017- Use of Opioids at High Dosage in Persons without Cancer (OHD) Core Measure PRA document
Version 1.0
5

08/30/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Elective Delivery (PC01) – Core
Measure PRA document
Version 1.0
08/30/2017

Document Number: 299-QSSI-MACPro-PRA-AQM2017-PC01-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Elective Delivery (PC01) Core Measure – Screenshots ........................................ 1
1.1
1.2
1.3
1.4
1.5
1.6

Are you reporting on this measure? ................................................................ 1
Measurement Specification ............................................................................. 1
Data Source .................................................................................................... 1
Performance Measure ..................................................................................... 2
Deviations from Measurement Specifications ................................................. 2
Optional Measure Stratification ....................................................................... 3

Appendix A:

Acronyms ......................................................................................... 4

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification .............................................................................. 1
Figure 3: Data Source – 1 ............................................................................................... 1
Figure 4: Data Source – 2 ............................................................................................... 2
Figure 5: Performance Measure ...................................................................................... 2
Figure 6: Deviations from Measurement Specifications .................................................. 2
Figure 7: Optional Measure Stratification – 1 .................................................................. 3
Figure 8: Optional Measure Stratification – 2 .................................................................. 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

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Elective Delivery (PC01) Core Measure – Screenshots

1. Elective Delivery (PC01) Core Measure – Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure?

1.2

Measurement Specification

Figure 2: Measurement Specification

1.3

Data Source

Figure 3: Data Source – 1

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Elective Delivery (PC01) Core Measure – Screenshots

Figure 4: Data Source – 2

1.4

Performance Measure

Figure 5: Performance Measure

1.5

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

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Version 1.0
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1.6

Elective Delivery (PC01) Core Measure – Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification – 1

Figure 8: Optional Measure Stratification – 2

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Version 1.0
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Elective Delivery (PC01) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Elective Delivery (PC01) – Core Measure PRA document
Version 1.0
4

08/30/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Antenatal Steroids (PC03) Core
Measure PRA document
Version 1.0
08/31/2017

Document Number: 295-QSSI-MACPro-PRA-AQM2017-PC03-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents
1. Antenatal Steroids (PC03) Core Measure – Screenshots ..................................... 1
1.1
1.2
1.3
1.4
1.5
1.6

Are you reporting on this measure? ................................................................ 1
Measurement Specification ............................................................................. 1
Data Source .................................................................................................... 1
Performance Measure ..................................................................................... 2
Deviations from Measurement Specifications ................................................. 2
Optional Measure Stratification ....................................................................... 3

Appendix A:

Acronyms ......................................................................................... 4

List of Figures
Figure 1: Are you reporting on this measure? ................................................................. 1
Figure 2: Measurement Specification .............................................................................. 1
Figure 3: Data Source ..................................................................................................... 1
Figure 4: Performance Measure ...................................................................................... 2
Figure 5: Deviations from Measurement Specifications .................................................. 2
Figure 6: Optional Measure Stratification – 1 .................................................................. 3
Figure 7: Optional Measure Stratification – 2 .................................................................. 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

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Version 1.0
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Antenatal Steroids (PC03) Core Measure – Screenshots

1. Antenatal Steroids (PC03) Core Measure –
Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure?

1.2

Measurement Specification

Figure 2: Measurement Specification

1.3

Data Source

Figure 3: Data Source

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1.4

Antenatal Steroids (PC03) Core Measure – Screenshots

Performance Measure

Figure 4: Performance Measure

1.5

Deviations from Measurement Specifications

Figure 5: Deviations from Measurement Specifications

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1.6

Antenatal Steroids (PC03) Core Measure – Screenshots

Optional Measure Stratification

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

Figure 6: Optional Measure Stratification – 1

Figure 7: Optional Measure Stratification – 2

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Antenatal Steroids (PC03) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Antenatal Steroids (PC03) Core Measure PRA document
Version 1.0
4

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Plan All-Cause Readmissions (PCR)
Core Measure PRA document
Version 1.0
08/29/2017

Document Number: 283-QSSI-MACPro-PRA-AQM2017-PCR-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Plan All-Cause Readmissions (PCR) Core Measure – Screenshots.................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8

Are you reporting on this measure? ................................................................ 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 1
Data Source .................................................................................................... 2
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 3
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 – 1 ........................................................................ 1
Figure 3: Measurement Specification – 2 ........................................................................ 1
Figure 4: Data Source ..................................................................................................... 2
Figure 5: Performance Measure - 1 ................................................................................ 2
Figure 6: Performance Measure - 2 ................................................................................ 3
Figure 7: Deviations from Measurement Specifications – 1 ............................................ 3
Figure 8: Deviations from Measurement Specifications – 2 ............................................ 4
Figure 9: Optional Measure Stratification – 1 .................................................................. 4
Figure 10: Optional Measure Stratification – 2 ................................................................ 5

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

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Plan All-Cause Readmissions (PCR) Core Measure – Screenshots

1. Plan All-Cause Readmissions (PCR) 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 – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

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1.4

Plan All-Cause Readmissions (PCR) Core Measure – Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure – Path 1

Figure 5: Performance Measure - 1

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1.6

Plan All-Cause Readmissions (PCR) Core Measure – Screenshots

Performance Measure – Path 2

Figure 6: Performance Measure - 2

1.7

Deviations from Measurement Specifications

Figure 7: Deviations from Measurement Specifications – 1

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Plan All-Cause Readmissions (PCR) Core Measure – Screenshots

Figure 8: Deviations from Measurement Specifications – 2

1.8

Optional Measure Stratification

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

Figure 9: Optional Measure Stratification – 1

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Plan All-Cause Readmissions (PCR) Core Measure – Screenshots

Figure 10: Optional Measure Stratification – 2

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Plan All-Cause Readmissions (PCR) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Plan All-Cause Readmissions (PCR) Core Measure PRA document
Version 1.0
6

08/29/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Prenatal & Postpartum Care:
Postpartum Care Rate (PPC) Core Measure PRA
document
Version 1.0
08/29/2017

Document Number: 284-QSSI-MACPro-PRA-AQM2017-PPC-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Prenatal & Postpartum Care: Postpartum Care Rate (PPC) 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 ....................................................................... 3

Appendix A:

Acronyms ......................................................................................... 5

List of Figures
Figure 1: Are you reporting on this measure? ................................................................. 1
Figure 2: Measurement Specification – 1 ........................................................................ 1
Figure 3: Measurement Specification – 2 ........................................................................ 1
Figure 4: Data Source – 1 ............................................................................................... 2
Figure 5: Data Source – 2 ............................................................................................... 2
Figure 6: Performance Measure ...................................................................................... 2
Figure 7: Deviations from Measurement Specifications .................................................. 3
Figure 8: Optional Measure Stratification – 1 .................................................................. 3
Figure 9: Optional Measure Stratification – 2 .................................................................. 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Prenatal & Postpartum Care: Postpartum Care Rate (PPC) Core Measure – Screenshots

1. Prenatal & Postpartum Care: Postpartum Care Rate
(PPC) 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 – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

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1.4

Prenatal & Postpartum Care: Postpartum Care Rate (PPC) Core Measure – Screenshots

Data Source

Figure 4: Data Source – 1

Figure 5: Data Source – 2

1.5

Performance Measure

Figure 6: Performance Measure

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1.6

Prenatal & Postpartum Care: Postpartum Care Rate (PPC) Core Measure – Screenshots

Deviations from Measurement Specifications

Figure 7: Deviations from Measurement Specifications

1.7

Optional Measure Stratification

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

Figure 8: Optional Measure Stratification – 1

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Prenatal & Postpartum Care: Postpartum Care Rate (PPC) Core Measure – Screenshots

Figure 9: Optional Measure Stratification – 2

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Prenatal & Postpartum Care: Postpartum Care Rate (PPC) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Prenatal & Postpartum Care: Postpartum Care Rate (PPC) Core Measure PRA document
Version 1.0
5

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Diabetes Short-Term Complications
Admission Rate (PQI01) Core Measure PRA
document
Version 1.0
08/29/2017

Document Number: 285-QSSI-MACPro-PRA-AQM2017-PQI01-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Diabetes Short-Term Complications Admission Rate (PQI01) 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 ............................................................................. 1
Data Source .................................................................................................... 1
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 2
Deviations from Measurement Specifications ................................................. 3
Optional Measure Stratification ....................................................................... 4

Appendix A:

Acronyms ......................................................................................... 5

List of Figures
Figure 1: Are you reporting on this measure? ................................................................. 1
Figure 2: Measurement Specification .............................................................................. 1
Figure 3: Data Source ..................................................................................................... 1
Figure 4: Performance Measure - 2 ................................................................................ 2
Figure 5: Performance Measure - 2 ................................................................................ 2
Figure 6: Deviations from Measurement Specifications – 1 ............................................ 3
Figure 7: Deviations from Measurement Specifications – 2 ............................................ 3
Figure 8: Optional Measure Stratification – 1 .................................................................. 4
Figure 9: Optional Measure Stratification – 2 .................................................................. 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Diabetes Short-Term Complications Admission Rate (PQI01) Core Measure – Screenshots

1. Diabetes Short-Term Complications Admission Rate
(PQI01) Core Measure – Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure?

1.2

Measurement Specification

Figure 2: Measurement Specification

1.3

Data Source

Figure 3: Data Source

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1.4

Diabetes Short-Term Complications Admission Rate (PQI01) Core Measure – Screenshots

Performance Measure – Path 1

Figure 4: Performance Measure - 2

1.5

Performance Measure – Path 2

Figure 5: Performance Measure - 2

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1.6

Diabetes Short-Term Complications Admission Rate (PQI01) Core Measure – Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – 1

Figure 7: Deviations from Measurement Specifications – 2

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1.7

Diabetes Short-Term Complications Admission Rate (PQI01) Core Measure – Screenshots

Optional Measure Stratification

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

Figure 8: Optional Measure Stratification – 1

Figure 9: Optional Measure Stratification – 2

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Diabetes Short-Term Complications Admission Rate (PQI01) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Diabetes Short-Term Complications Admission Rate (PQI01) Core Measure PRA document
Version 1.0
5

08/29/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Chronic Obstructive Pulmonary
Disease (COPD) or Asthma in Older Adults
Admission Rate (PQI05) Core Measure PRA
document
Version 1.0
08/29/2017

Document Number: 286-QSSI-MACPro-PRA-AQM2017-PQI05-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults
Admission Rate (PQI05) – 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 ............................................................................. 1
Data Source .................................................................................................... 1
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 2
Deviations from Measurement Specifications ................................................. 3
Optional Measure Stratification ....................................................................... 3

Appendix A:

Acronyms ......................................................................................... 5

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification .............................................................................. 1
Figure 3: Data Source ..................................................................................................... 1
Figure 4: Performance Measure – 1 ................................................................................ 2
Figure 5: Performance Measure – 2 ................................................................................ 2
Figure 6: Deviation from Measurement Specifications – 1 .............................................. 3
Figure 7: Deviation from Measurement Specifications – 2 .............................................. 3
Figure 8: Optional Measure Stratification – 1 .................................................................. 4
Figure 9: Optional Measure Stratification – 2 .................................................................. 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

AQM 2017 - Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) Core Measure PRA
document
Version 1.0
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Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) – Screenshots

1. Chronic Obstructive Pulmonary Disease (COPD) or
Asthma in Older Adults Admission Rate (PQI05) –
Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure?

1.2

Measurement Specification

Figure 2: Measurement Specification

1.3

Data Source

Figure 3: Data Source

AQM 2017 - Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) Core Measure PRA
document
Version 1.0
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1.4

Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) – Screenshots

Performance Measure – Path 1

Figure 4: Performance Measure – 1

1.5

Performance Measure – Path 2

Figure 5: Performance Measure – 2

AQM 2017 - Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) Core Measure PRA
document
Version 1.0
2
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CMS XLC

1.6

Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) – Screenshots

Deviations from Measurement Specifications

Figure 6: Deviation from Measurement Specifications – 1

Figure 7: Deviation from Measurement Specifications – 2

1.7

Optional Measure Stratification

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

AQM 2017 - Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) Core Measure PRA
document
Version 1.0
3
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CMS XLC

Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) – Screenshots

Figure 8: Optional Measure Stratification – 1

Figure 9: Optional Measure Stratification – 2

AQM 2017 - Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) Core Measure PRA
document
Version 1.0
4
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CMS XLC

Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05) Core Measure PRA
document
Version 1.0
5
08/29/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Heart Failure Admission Rate (PQI08)
Core Measure PRA document
Version 1.0
08/29/2017

Document Number: 287-QSSI-MACPro-PRA-AQM2017-PQI08-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Heart Failure Admission Rate (PQI08) 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 ............................................................................. 1
Data Source .................................................................................................... 1
Performance Measure – Path 1 ...................................................................... 2
Performance Measure – Path 2 ...................................................................... 2
Deviations from Measurement Specifications ................................................. 3
Optional Measure Stratification ....................................................................... 3

Appendix A:

Acronyms ......................................................................................... 5

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification .............................................................................. 1
Figure 3: Data Source ..................................................................................................... 1
Figure 4: Performance Measure - 1 ................................................................................ 2
Figure 5: Performance Measure - 2 ................................................................................ 2
Figure 6: Deviations from Measurement Specifications – 1 ............................................ 3
Figure 7: Deviations from Measurement Specifications – 2 ............................................ 3
Figure 8: Optional Measure Stratification – 1 .................................................................. 4
Figure 9: Optional Measure Stratification – 2 .................................................................. 4

List of Tables
Table 1: Acronyms .......................................................................................................... 5

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Heart Failure Admission Rate (PQI08) Core Measure – Screenshots

1. Heart Failure Admission Rate (PQI08) Core Measure –
Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure

1.2

Measurement Specification

Figure 2: Measurement Specification

1.3

Data Source

Figure 3: Data Source

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CMS XLC

1.4

Heart Failure Admission Rate (PQI08) Core Measure – Screenshots

Performance Measure – Path 1

Figure 4: Performance Measure - 1

1.5

Performance Measure – Path 2

Figure 5: Performance Measure - 2

AQM 2017 - Heart Failure Admission Rate (PQI08) Core Measure PRA document
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CMS XLC

1.6

Heart Failure Admission Rate (PQI08) Core Measure – Screenshots

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications – 1

Figure 7: Deviations from Measurement Specifications – 2

1.7

Optional Measure Stratification

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

AQM 2017 - Heart Failure Admission Rate (PQI08) Core Measure PRA document
Version 1.0
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CMS XLC

Heart Failure Admission Rate (PQI08) Core Measure – Screenshots

Figure 8: Optional Measure Stratification – 1

Figure 9: Optional Measure Stratification – 2

AQM 2017 - Heart Failure Admission Rate (PQI08) Core Measure PRA document
Version 1.0
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Heart Failure Admission Rate (PQI08) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Heart Failure Admission Rate (PQI08) Core Measure PRA document
Version 1.0
5

08/29/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Asthma in Younger Adults Admission
Rate (PQI15) Core Measure PRA document
Version 0.1
08/29/2017

Document Number: 288-QSSI-MACPro-PRA-AQM2017-PQI15-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Asthma in Younger Adults Admission Rate (PQI15) Core Measure –
Screenshots ............................................................................................................. 1
1.1
1.2
1.3
1.4
1.5
1.6

Are you reporting on this measure? ................................................................ 1
Measurement Specification ............................................................................. 1
Data Source .................................................................................................... 1
Performance Measure ..................................................................................... 2
Deviations from Measurement Specifications ................................................. 2
Optional Measure Stratification ....................................................................... 2

Appendix A:

Acronyms ......................................................................................... 4

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification .............................................................................. 1
Figure 3: Data Source ..................................................................................................... 1
Figure 4: Performance Measure ...................................................................................... 2
Figure 5: Deviations from Measurement Specifications .................................................. 2
Figure 6: Optional Measure Stratification – 1 .................................................................. 3
Figure 7: Optional Measure Stratification – 2 .................................................................. 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

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Asthma in Younger Adults Admission Rate (PQI15) Core Measure – Screenshots

1. Asthma in Younger Adults Admission Rate (PQI15)
Core Measure – Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure

1.2

Measurement Specification

Figure 2: Measurement Specification

1.3

Data Source

Figure 3: Data Source

AQM 2017 - Asthma in Younger Adults Admission Rate (PQI15) Core Measure PRA document
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CMS XLC

1.4

Asthma in Younger Adults Admission Rate (PQI15) Core Measure – Screenshots

Performance Measure

Figure 4: Performance Measure

1.5

Deviations from Measurement Specifications

Figure 5: Deviations from Measurement Specifications

1.6

Optional Measure Stratification

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

AQM 2017 - Asthma in Younger Adults Admission Rate (PQI15) Core Measure PRA document
Version 0.1
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CMS XLC

Asthma in Younger Adults Admission Rate (PQI15) Core Measure – Screenshots

Figure 6: Optional Measure Stratification – 1

Figure 7: Optional Measure Stratification – 2

AQM 2017 - Asthma in Younger Adults Admission Rate (PQI15) Core Measure PRA document
Version 0.1
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CMS XLC

Asthma in Younger Adults Admission Rate (PQI15) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Asthma in Younger Adults Admission Rate (PQI15) Core Measure PRA document
Version 0.1
4

08/29/2017

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

Medicaid and CHIP Program (MACPro)
AQM 2017 - Adherence to Antipsychotics for
Individuals with Schizophrenia (SAA) Core
Measure PRA document
Version 1.0
08/29/2017

Document Number: 289-QSSI-MACPro-PRA-AQM2017-SAA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) 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 ................................................. 2
Optional Measure Stratification ....................................................................... 3

Appendix A:

Acronyms ......................................................................................... 4

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification – 1 ........................................................................ 1
Figure 3: Measurement Specification – 2 ........................................................................ 1
Figure 4: Data Source ..................................................................................................... 2
Figure 5: Performance Measure ...................................................................................... 2
Figure 6: Deviations from Measurement Specifications .................................................. 2
Figure 7: Optional Measure Stratification – 1 .................................................................. 3
Figure 8: Optional Measure Stratification – 2 .................................................................. 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

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Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure – Screenshots

1. Adherence to Antipsychotics for Individuals with
Schizophrenia (SAA) 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 – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

AQM 2017 - Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure PRA document
Version 1.0
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CMS XLC

1.4

Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure – Screenshots

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

1.6

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

AQM 2017 - Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure PRA document
Version 1.0
2

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CMS XLC

1.7

Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure – Screenshots

Optional Measure Stratification

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

Figure 7: Optional Measure Stratification – 1

Figure 8: Optional Measure Stratification – 2

AQM 2017 - Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure PRA document
Version 1.0
3

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CMS XLC

Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

AQM 2017 - Adherence to Antipsychotics for Individuals with Schizophrenia (SAA) Core Measure PRA document
Version 1.0
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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
AQM 2017 – Diabetes Screening for People with
Schizophrenia or Bipolar Disorder Who Are Using
Antipsychotic Medications (SSD) Core Measure
PRA document
Version 1.0
08/29/2017

Document Number: 290-QSSI-MACPro-PRA-AQM2017-SSD-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. (SSD) 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 ................................................. 2
Optional Measure Stratification ....................................................................... 2

Appendix A:

Acronyms ......................................................................................... 4

List of Figures
Figure 1: Are you reporting on this measure ................................................................... 1
Figure 2: Measurement Specification – 1 ........................................................................ 1
Figure 3: Measurement Specification – 2 ........................................................................ 1
Figure 4: Data Source ..................................................................................................... 2
Figure 5: Performance Measure ...................................................................................... 2
Figure 6: Deviations from Measurement Specifications .................................................. 2
Figure 7: Optional Measure Stratification – 1 .................................................................. 3
Figure 8: Optional Measure Stratification – 2 .................................................................. 3

List of Tables
Table 1: Acronyms .......................................................................................................... 4

AQM 2017 – Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) Core
Measure PRA document
Version 1.0
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CMS XLC
(SSD) Core Measure – Screenshots

1. (SSD) 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 – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

AQM 2017 – Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) Core
Measure PRA document
Version 1.0
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CMS XLC
(SSD) Core Measure – Screenshots

1.4

Data Source

Figure 4: Data Source

1.5

Performance Measure

Figure 5: Performance Measure

1.6

Deviations from Measurement Specifications

Figure 6: Deviations from Measurement Specifications

1.7

Optional Measure Stratification

Note: Same N/D/R sets are displayed under each of the stratification categories
AQM 2017 – Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) Core
Measure PRA document
Version 1.0
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CMS XLC
(SSD) Core Measure – Screenshots

Figure 7: Optional Measure Stratification – 1

Figure 8: Optional Measure Stratification – 2

AQM 2017 – Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) Core
Measure PRA document
Version 1.0
3
08/29/2017

CMS XLC
(SSD) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

SDD

Diabetes Screening for People with Schizophrenia or Bipolar
Disorder Who Are Using Antipsychotic Medications

AQM 2017 – Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) Core
Measure PRA document
Version 1.0
4
08/29/2017


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