245-QSSI-MACPro-PR AQM, CQM & MIH - Additional Notes PRA document

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

Medicaid and CHIP Program (MACPro)
AQM, CQM & MIH - Additional Notes PRA
document
Version 1.0
08/24/2017

Document Number: 245-QSSI-MACPro-PRA-AdditionalNotes-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Additional Notes – Screenshots ............................................................................. 1
1.1

Additional Notes .............................................................................................. 1

Appendix A:

Acronyms ......................................................................................... 2

List of Figures
Figure 1: Additional Notes ............................................................................................... 1

List of Tables
Table 1: Acronyms .......................................................................................................... 2

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Additional Notes – Screenshots

1. Additional Notes – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems® (CAHPS) Health Plan Survey 5.0H - Child
Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC),”
“Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey,
Version 5.0H, Adult Version (Medicaid) (CPA)” and “State-Specific Measures”. This section will
be available in read-only format for the following core measures: “Pediatric Central LineAssociated Blood Stream Infections (CLABSI)” and “Percentage of Eligibles Who Received
Preventive Dental Services (PDENT).”

1.1

Additional Notes

Figure 1: Additional Notes

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Additional Notes – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

CQM

Child Quality Measures

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM, CQM & MIH - Additional Notes 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 & MIH - Definition of Population PRA
document
Version 1.0
08/24/2017

Document Number: 246-QSSI-MACPro-PRA-AQM-MIH-DefOfPopulation-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Definition of Population – Screenshots ................................................................. 1
1.1
1.2
1.3

Definition of Population – Path 1 – Data Source – Hybrid or Other ................. 1
Definition of Population – Path 2 – Data Source - Administrative.................... 2
Definition of Population – Delivery Systems .................................................... 2

Appendix A:

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

List of Figures
Figure 1: Definition of Population – Hybrid or Other ........................................................ 1
Figure 2: Definition of Population – Administrative .......................................................... 2
Figure 3: Delivery Systems - 1 ........................................................................................ 2
Figure 4: Delivery Systems - 2 ........................................................................................ 3

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

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Definition of Population – Screenshots

1. Definition of Population – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey, Version
5.0H, Adult Version (Medicaid) (CPA)”.

1.1

Definition of Population – Path 1 – Data Source – Hybrid or Other

Note: This path does not apply to MIH.

Figure 1: Definition of Population – Hybrid or Other

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1.2

Definition of Population – Screenshots

Definition of Population – Path 2 – Data Source - Administrative

Figure 2: Definition of Population – Administrative

1.3

Definition of Population – Delivery Systems

Figure 3: Delivery Systems - 1

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Definition of Population – Screenshots

Figure 4: Delivery Systems - 2

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Definition of Population – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM & MIH - Definition of Population 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, CQM & MIH - Combined Rates PRA
document
Version 1.0
08/24/2017

Document Number: 247-QSSI-MACPro-PRA-CombinedRates-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Combined Rates – Screenshots ............................................................................. 1
1.1

Combined Rates ............................................................................................. 1

Appendix A:

Acronyms ......................................................................................... 2

List of Figures
Figure 1: Combined Rates .............................................................................................. 1

List of Tables
Table 1: Acronyms .......................................................................................................... 2

AQM, CQM & MIH - Combined Rates PRA document Version 1.0

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Combined Rates – Screenshots

1. Combined Rates – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems® (CAHPS) Health Plan Survey 5.0H - Child
Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC),”
“Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey,
Version 5.0H, Adult Version (Medicaid) (CPA)” and “State-Specific Measures”. This section will
be available in read-only format for the following core measures: “Pediatric Central LineAssociated Blood Stream Infections (CLABSI)” and “Percentage of Eligibles Who Received
Preventive Dental Services (PDENT).”

1.1

Combined Rates

Figure 1: Combined Rates

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Combined Rates – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

CQM

Child Quality Measures

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM, CQM & MIH - Combined Rates PRA document Version 1.0

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08/24/2017

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

Medicaid and CHIP Program (MACPro)
CQM - Definition of Population PRA document
Version 1.0
08/24/2017

Document Number: 248-QSSI-MACPro-PRA-CQM_DefOfPopulation-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Definition of Population – Screenshots ................................................................. 1
1.1

Definition of Population ................................................................................... 1

Appendix A:

Acronyms ......................................................................................... 3

List of Figures
Figure 1: Definition of Population - 1 ............................................................................... 1
Figure 2: Definition of Population – 2 .............................................................................. 2
Figure 3: Definition of Population – 3 .............................................................................. 2

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

CQM - Definition of Population PRA document Version 1.0

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Definition of Population – Screenshots

1. Definition of Population – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems® (CAHPS) Health Plan Survey 5.0H - Child
Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC)”
and “State-Specific Measures”. This section will be available in read-only format for the following
core measures: “Pediatric Central Line-Associated Blood Stream Infections (CLABSI)” and
“Percentage of Eligibles Who Received Preventive Dental Services (PDENT).”

1.1

Definition of Population

Figure 1: Definition of Population - 1

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Definition of Population – Screenshots

Figure 2: Definition of Population – 2

Figure 3: Definition of Population – 3

CQM - Definition of Population PRA document Version 1.0

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Definition of Population – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

CQM

Child Quality Measures

PRA

Paper Reduction Act of 1995

CQM - Definition of Population 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, CQM & MIH - Date Range PRA document
Version 1.0
08/24/2017

Document Number: 249-QSSI-MACPro-PRA-DateRange-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Date Range – Screenshots ...................................................................................... 1
1.1

Date Range ..................................................................................................... 1

Appendix A:

Acronyms ......................................................................................... 2

List of Figures
Figure 1: Date Range ...................................................................................................... 1

List of Tables
Table 1: Acronyms .......................................................................................................... 2

AQM, CQM & MIH - Date Range PRA document Version 1.0

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Date Range – Screenshots

1. Date Range – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems® (CAHPS) Health Plan Survey 5.0H - Child
Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC),”
“Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey,
Version 5.0H, Adult Version (Medicaid) (CPA)” and “State-Specific Measures”. This section will
be available in read-only format for the following core measures: “Pediatric Central LineAssociated Blood Stream Infections (CLABSI)” and “Percentage of Eligibles Who Received
Preventive Dental Services (PDENT).”

1.1

Date Range

Figure 1: Date Range

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Date Range – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

CQM

Child Quality Measures

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM, CQM & MIH - Date Range PRA document Version 1.0

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08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM, CQM & MIH - Not Reporting on a Measure
PRA document
Version 1.0
08/24/2017

Document Number: 250-QSSI-MACPro-PRA-NotReporting-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Not Reporting on a Measure – Screenshots .......................................................... 1
1.1

Not Reporting on a Measure ........................................................................... 1

Appendix A:

Acronyms ......................................................................................... 3

List of Figures
Figure 1: Not Reporting – 1 ............................................................................................. 1
Figure 2: Not Reporting – 2 ............................................................................................. 2
Figure 3: Not Reporting – 3 ............................................................................................. 2

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

AQM, CQM & MIH - Not Reporting on a Measure PRA document
Version 1.0

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Not Reporting on a Measure – Screenshots

1. Not Reporting on a Measure – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems® (CAHPS) Health Plan Survey 5.0H - Child
Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC),”
“Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey,
Version 5.0H, Adult Version (Medicaid) (CPA)” and “State-Specific Measures”. This section will
be available in read-only format for the following core measures: “Pediatric Central LineAssociated Blood Stream Infections (CLABSI)” and “Percentage of Eligibles Who Received
Preventive Dental Services (PDENT).”

1.1

Not Reporting on a Measure

Figure 1: Not Reporting – 1

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Version 1.0

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Not Reporting on a Measure – Screenshots

Figure 2: Not Reporting – 2

Figure 3: Not Reporting – 3

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Version 1.0

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Not Reporting on a Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

CQM

Child Quality Measures

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM, CQM & MIH - Not Reporting on a 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, CQM & MIH - Other Performance Measure
PRA document
Version 1.0
08/24/2017

Document Number: 251-QSSI-MACPro-PRA-OPM-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Other Performance Measure – Screenshots ......................................................... 1
1.1

Other Performance Measure ........................................................................... 1

Appendix A:

Acronyms ......................................................................................... 2

List of Figures
Figure 1: Other Performance Measure ............................................................................ 1

List of Tables
Table 1: Acronyms .......................................................................................................... 2

AQM, CQM & MIH - Other Performance Measure PRA document
Version 1.0

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Other Performance Measure – Screenshots

1. Other Performance Measure – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems® (CAHPS) Health Plan Survey 5.0H - Child
Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC),”
“Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey,
Version 5.0H, Adult Version (Medicaid) (CPA)” and “State-Specific Measures”. This section will
be available in read-only format for the following core measures: “Pediatric Central LineAssociated Blood Stream Infections (CLABSI)” and “Percentage of Eligibles Who Received
Preventive Dental Services (PDENT).”

1.1

Other Performance Measure

Figure 1: Other Performance Measure

AQM, CQM & MIH - Other Performance Measure PRA document
Version 1.0

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Other Performance Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

CQM

Child Quality Measures

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM, CQM & MIH - Other Performance Measure PRA document
Version 1.0

2

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM, CQM & MIH - Status of Data Reported PRA
document
Version 1.0
08/24/2017

Document Number: 252-QSSI-MACPro-PRA-StatusOfData-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Status of Data Reported – Screenshots ................................................................. 1
1.1

Status of Data Reported .................................................................................. 1

Appendix A:

Acronyms ......................................................................................... 2

List of Figures
Figure 1: Status of Data Reported ................................................................................... 1

List of Tables
Table 1: Acronyms .......................................................................................................... 2

AQM, CQM & MIH - Status of Data Reported PRA document
Version 1.0

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Status of Data Reported – Screenshots

1. Status of Data Reported – Screenshots
Note: This section is applicable to all core measures except the following: “Consumer
Assessment of Healthcare Providers and Systems® (CAHPS) Health Plan Survey 5.0H - Child
Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC),”
“Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey,
Version 5.0H, Adult Version (Medicaid) (CPA)” and “State-Specific Measures”. This section will
be available in read-only format for the following core measures: “Pediatric Central LineAssociated Blood Stream Infections (CLABSI)” and “Percentage of Eligibles Who Received
Preventive Dental Services (PDENT).”

1.1

Status of Data Reported

Figure 1: Status of Data Reported

AQM, CQM & MIH - Status of Data Reported PRA document
Version 1.0

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Status of Data Reported – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

CQM

Child Quality Measures

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM, CQM & MIH - Status of Data Reported PRA document
Version 1.0

2

08/24/2017

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

Medicaid and CHIP Program (MACPro)
AQM, CQM & MIH - Technical Assistance PRA
document
Version 1.0
08/24/2017

Document Number: 253-QSSI-MACPro-PRA-TechnicalAssistance-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Technical Assistance – Screenshots ..................................................................... 1
1.1
1.2

Technical Assistance from the Admin Screen ................................................. 1
Technical Assistance from a Core Measure .................................................... 2

Appendix A:

Acronyms ......................................................................................... 3

List of Figures
Figure 1: Technical Assistance Admin - 1 ....................................................................... 1
Figure 2: Technical Assistance Admin – 2 ...................................................................... 1
Figure 3: Technical Assistance Core Measure – 1 .......................................................... 2
Figure 4: Technical Assistance Core Measure – 2 .......................................................... 2

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

AQM, CQM & MIH - Technical Assistance PRA document
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Technical Assistance – Screenshots

1. Technical Assistance – Screenshots
1.1

Technical Assistance from the Admin Screen

Figure 1: Technical Assistance Admin - 1

Figure 2: Technical Assistance Admin – 2

AQM, CQM & MIH - Technical Assistance PRA document
Version 1.0

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1.2

Technical Assistance – Screenshots

Technical Assistance from a Core Measure

Figure 3: Technical Assistance Core Measure – 1

Figure 4: Technical Assistance Core Measure – 2

AQM, CQM & MIH - Technical Assistance PRA document
Version 1.0

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Technical Assistance – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

CQM

Child Quality Measures

MIH

Maternal and Infant Health Quality Measure

PRA

Paper Reduction Act of 1995

AQM, CQM & MIH - Technical Assistance PRA document
Version 1.0

3

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