Medicaid MY2024 PLD File Specifications
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Revision date: July 1, 2024
NYS MY2024 Patient-Level Detail File Specifications
MEDICAID
| MEASURE | COLUMN LENGTH | COLUMN START | COLUMN END | FIELD | SPECIFICATION |
|---|---|---|---|---|---|
| GENERAL INFO | 1 | 1 | 1 | Record Identifier | Use the tilde (~) character to start the line. |
| GENERAL INFO | 5 | 2 | 6 | Submission ID | The unique identifier assigned by NCQA for summary-level data submission |
| GENERAL INFO | 18 | 7 | 24 | Product Line | MEDICAID, HIVSNP, HARP |
| GENERAL INFO | 30 | 25 | 54 | Member ID | Member ID should be Medicaid Client ID Number (CIN). For Medicaid: AA#####A For CHP: 0####### or 5####### |
| GENERAL INFO | 8 | 55 | 62 | Date of birth | The birth date must contain 8 digits with month, day, year Enter: MMDDYYYY (e.g., September 20, 1983 would be 09201983) |
| GENERAL INFO | 2 | 63 | 64 | Member Months | The member month contribution this member adds according to the Enrollment by Product Line measure. Valid values are between 0 - 12. |
| GENERAL INFO | 1 | 65 | 65 | Sex | Enter: The sex assigned at birth 'F' member is female 'M' member is male 'O' includes, but is not limited to: missing, refused, and unspecified No other characters are allowed |
| GENERAL INFO | 2 | 66 | 67 | Race | Enter the member's race: 01=White 02=Black or African American 03=American Indian/Alaskan Native 04=Asian 05=Native Hawaiian/Pacific Islander 06=Some Other Race 07=Two or more races 08=Asked But No Answer 09=Unknown |
| GENERAL INFO | 2 | 68 | 69 | Source of Race Data | Provide the source of Race data: 20 = Health Plan Direct (Direct) 21 = CMS databases (Direct) 22 = State Databases (Direct) 23 = Surname Analysis (Indirect) 24 = Geo-coding Analysis (Indirect) 28 = Unknown – Use this as the race source value when the member's race is "UNK" for Unknown Race. 29 = Other (Direct) 30 = Other (Indirect) - Use when "other" indirect method is used to determine Race. |
| GENERAL INFO | 1 | 70 | 70 | Ethnicity | Enter the Member's ethnicity: 1=Hispanic or Latino 2=Non-Hispanic or Latino 9=Unknown 0=Asked but not answered |
| GENERAL INFO | 2 | 71 | 72 | Source of Ethnicity Data | Provide the source of Ethnicity data: 20 = Health Plan Direct (Direct) 21 = CMS databases (Direct) 22 = State Databases (Direct) 23 = Surname Analysis (Indirect) 24 = Geo-coding Analysis (Indirect) 28 = 28 = Unknown – Use this as the ethnicity source value when the member's ethnicity is "UNK" for Unknown Ethnicity. 29 = Other (Direct) 30 = Other (Indirect) - Use when "other" indirect method is used to determine Ethnicity |
| GENERAL INFO | 2 | 73 | 74 | Asian American Subgroups | If member's race is White, Black or African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, Two Or More Races, Some Other Race, Asked But No Answer, or Unknown then Enter: 00=Not Applicable If member's race is Asian, then identify the specific subgroup: 01=Chinese 02=Japanese 03=Filipino 04=Korean 05=Vietnamese 06=Asian Indian 07=Laotian 08=Cambodian 09=Bangladeshi 10=Hmong 11=Indonesian 12=Malaysian 13=Pakistani 14=Sri Lankan 15=Taiwanese 16=Nepalese 17=Burmese 18=Thai 19=Two or more subgroups 20=Unknown Asian Subgroup 21=Declined 22=Other Asian Subgroup |
| GENERAL INFO | 1 | 75 | 75 | Native Hawaiian/Pacific Islander Subgroups | If member's race is White, Black or African American, American Indian/Alaskan Native, Asian, Two Or More Races, Some Other Race, Asked But No Answer, or Unknown then Enter: 0=Not Applicable If member's race is Native Hawaiian/Pacific Islander then identify the specific subgroup: 1=Hawaiian 2=Guamanian/Chamorro 3=Samoan 4=Fijian 5=Tongan 6=Two or more subgroups 7=Unknown Native Hawaiian/Pacific Islander Subgroup 8=Declined 9=Other Native Hawaiian/Pacific Islander Subgroup |
| GENERAL INFO | 3 | 76 | 78 | Language Spoken | Enter the member's spoken language: 001=English *For all other languages other than English see the Language Value Set on the Managed Care Information for Health Plans Quality Assurance Reporting Requirements (QARR) 2024 NYS QARR Language Value Setwebpage. 197=Unknown 199=Declined |
| GENERAL INFO | 3 | 79 | 81 | County of Residence | Enter the 3-digit county FIPS code for each member's residence of county. See the attachment for codes and values to enter here. ### = FIPS Code 000= Outside of NYS 999 = Unknown |
| AAB | 2 | 82 | 83 | Denominator for Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB): 3 months-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAB | 2 | 84 | 85 | Numerator for Avoidance of Antibiotic treatment for Acute Bronchitis/Bronchiolitis (AAB): 3 months-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AAB | 2 | 86 | 87 | Denominator for Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAB | 2 | 88 | 89 | Numerator for Avoidance of Antibiotic treatment for Acute Bronchitis/Bronchiolitis (AAB): 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AAB | 2 | 90 | 91 | Denominator for Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAB | 2 | 92 | 93 | Numerator for Avoidance of Antibiotic treatment for Acute Bronchitis/Bronchiolitis (AAB): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AAP | 1 | 94 | 94 | Denominator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 20-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AAP | 1 | 95 | 95 | Numerator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 20-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AAP | 1 | 96 | 96 | Denominator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AAP | 1 | 97 | 97 | Numerator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AAP | 1 | 98 | 98 | Denominator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 65 years and older | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AAP | 1 | 99 | 99 | Numerator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 65 years and older | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| ADD-E | 1 | 100 | 100 | Denominator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Initiation Phase | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ADD-E | 1 | 101 | 101 | Numerator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Initiation Phase | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| ADD-E | 1 | 102 | 102 | Denominator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Continuation and Maintenance (C&M) Phase | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ADD-E | 1 | 103 | 103 | Numerator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Continuation and Maintenance (C&M) Phase | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 104 | 104 | Denominator 1 for Adult Immunization Status (AIS-E): Influenza and Td/Tdap (Population Criteria 1) [Members 19 -65 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 105 | 105 | Numerator for Adult Immunization Status (AIS-E): Influenza (Population Criteria 1) [Members 19 -65 years] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 106 | 106 | Numerator for Adult Immunization Status (AIS-E): Td/Tdap (Population Criteria 2) [Members 19 -65 years] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 107 | 107 | Denominator 2 for Adult Immunization Status (AIS-E): Influenza and Td/Tdap (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 108 | 108 | Numerator for Adult Immunization Status (AIS-E): Influenza (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 109 | 109 | Numerator for Adult Immunization Status (AIS-E): Td/Tdap (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 110 | 110 | Denominator 3 for Adult Immunization Status (AIS-E): Zoster (Population Criteria 3) [Members 50 - 65 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 111 | 111 | Numerator for Adult Immunization Status (AIS-E): Zoster (Population Criteria 3) [Members 50 - 65 years] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 112 | 112 | Denominator 4 for Adult Immunization Status (AIS-E): Zoster (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 113 | 113 | Numerator for Adult Immunization Status (AIS-E): Zoster (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 114 | 114 | Denominator 4 for Adult Immunization Status (AIS-E): Pneumococcal (Population Criteria 4) [Members 66 years and older] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 115 | 115 | Numerator for Adult Immunization Status (AIS-E): Pneumococcal (Population Criteria 4) [Members 66 years and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMM | 1 | 116 | 116 | Denominator for Antidepressant Medication Management (AMM) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMM | 1 | 117 | 117 | Numerator for Antidepressant Medication Management (AMM): Effective Acute Phase Treatment | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMM | 1 | 118 | 118 | Numerator for Antidepressant Medication Management (AMM): Effective Continuation Phase Treatment | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 119 | 119 | Denominator for Asthma Medication Ratio (AMR): 5-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 120 | 120 | Numerator for Asthma Medication Ratio (AMR): 5-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 121 | 121 | Denominator for Asthma Medication Ratio (AMR): 12-18 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 122 | 122 | Numerator for Asthma Medication Ratio (AMR): 12-18 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 123 | 123 | Denominator for Asthma Medication Ratio (AMR): 19-50 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 124 | 124 | Numerator for Asthma Medication Ratio (AMR): 19-50 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 125 | 125 | Denominator for Asthma Medication Ratio (AMR): 51-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 126 | 126 | Numerator for Asthma Medication Ratio (AMR): 51-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 127 | 127 | Denominator for Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E): 1-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APM-E | 1 | 128 | 128 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received blood glucose testing (APM-E): 1-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 129 | 129 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received cholesterol testing (APM-E): 1-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 130 | 130 | Denominator for Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APM-E | 1 | 131 | 131 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received blood glucose testing (APM-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 132 | 132 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received cholesterol testing (APM-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APP | 1 | 133 | 133 | Denominator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 1-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APP | 1 | 134 | 134 | Numerator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 1-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APP | 1 | 135 | 135 | Denominator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APP | 1 | 136 | 136 | Numerator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AXR | 2 | 137 | 138 | Denominator for Antibiotic Utilization for Respiratory Conditions (AXR) 3m-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AXR | 2 | 139 | 140 | Numerator for Antibiotic Utilization for Respiratory Conditions (AXR) 3m-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AXR | 2 | 141 | 142 | Denominator for Antibiotic Utilization for Respiratory Conditions (AXR) 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AXR | 2 | 143 | 144 | Numerator for Antibiotic Utilization for Respiratory Conditions (AXR) 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AXR | 2 | 145 | 146 | Denominator for Antibiotic Utilization for Respiratory Conditions (AXR) 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AXR | 2 | 147 | 148 | Numerator for Antibiotic Utilization for Respiratory Conditions 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| BCS-E | 1 | 149 | 149 | Denominator for Breast Cancer Screening (BCS-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BCS-E | 1 | 150 | 150 | Numerator for Breast Cancer Screening (BCS-E) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| BPD | 1 | 151 | 151 | Denominator for Blood Pressure Control for Patients with Diabetes (BPD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BPD | 1 | 152 | 152 | Numerator for Blood Pressure Control for Patients with Diabetes (BPD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CBP | 1 | 153 | 153 | Denominator for Controlling High Blood Pressure (CBP) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CBP | 1 | 154 | 154 | Numerator for Controlling High Blood Pressure (CBP) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CCS | 1 | 155 | 155 | Denominator for Cervical Cancer Screening (CCS) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CCS | 1 | 156 | 156 | Numerator for Cervical Cancer Screening (CCS) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CCS-E | 1 | 157 | 157 | Denominator for Cervical Cancer Screening Electronic (CCS-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CCS-E | 1 | 158 | 158 | Numerator for Cervical Cancer Screening Electronic (CCS-E) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CET | 1 | 159 | 159 | Denominator for Continued Engagement in Substance Use Disorder Treatment (CET) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CET | 1 | 160 | 160 | Numerator for Continued Engagement in Substance Use Disorder Treatment (CET) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CHL | 1 | 161 | 161 | Denominator for Chlamydia Screening in Women (CHL): 16-20 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CHL | 1 | 162 | 162 | Numerator for Chlamydia Screening in Women (CHL): 16-20 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CHL | 1 | 163 | 163 | Denominator for Chlamydia Screening in Women (CHL): 21-24 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CHL | 1 | 164 | 164 | Numerator for Chlamydia Screening in Women (CHL): 21-24 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 165 | 165 | Denominator for Childhood Immunization Status (CIS) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CIS | 1 | 166 | 166 | Numerator for Childhood Immunization Status (CIS): DTaP | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 167 | 167 | Numerator for Childhood Immunization Status (CIS): IPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 168 | 168 | Numerator for Childhood Immunization Status (CIS): MMR | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 169 | 169 | Numerator for Childhood Immunization Status (CIS): HiB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 170 | 170 | Numerator for Childhood Immunization Status (CIS): HepB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 171 | 171 | Numerator for Childhood Immunization Status (CIS): VZV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 172 | 172 | Numerator for Childhood Immunization Status (CIS): PCV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 173 | 173 | Numerator for Childhood Immunization Status (CIS): HepA | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 174 | 174 | Numerator for Childhood Immunization Status (CIS): RV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 175 | 175 | Numerator for Childhood Immunization Status (CIS): Influenza | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 176 | 176 | Numerator for Childhood Immunization Status (CIS): Combo 3 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 177 | 177 | Numerator for Childhood Immunization Status (CIS): Combo 7 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 178 | 178 | Numerator for Childhood Immunization Status (CIS): Combo 10 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 179 | 179 | Denominator for Childhood Immunization Status Electronic (CIS-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CIS-E | 1 | 180 | 180 | Numerator for Childhood Immunization Status Electronic (CIS-E) : DTaP | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 181 | 181 | Numerator for Childhood Immunization Status Electronic (CIS-E): IPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 182 | 182 | Numerator for Childhood Immunization Status Electronic (CIS-E): MMR | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 183 | 183 | Numerator for Childhood Immunization Status Electronic (CIS-E) : HiB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 184 | 184 | Numerator for Childhood Immunization Status Electronic (CIS-E) : HepB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 185 | 185 | Numerator for Childhood Immunization Status Electronic (CIS-E) : VZV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 186 | 186 | Numerator for Childhood Immunization Status Electronic (CIS-E) : PCV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 187 | 187 | Numerator for Childhood Immunization Status Electronic (CIS-E) : HepA | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 188 | 188 | Numerator for Childhood Immunization Status Electronic (CIS-E) : RV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 189 | 189 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Influenza | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 190 | 190 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Combo 3 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 191 | 191 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Combo 7 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 192 | 192 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Combo 10 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| COL-E | 1 | 193 | 193 | Denominator for Colorectal Cancer Screening Electronic (COL-E): 46-50 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| COL-E | 1 | 194 | 194 | Numerator for Colorectal Cancer Screening Electronic (COL-E): 46-50 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| COL-E | 1 | 195 | 195 | Denominator for Colorectal Cancer Screening (COL-E): 51-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| COL-E | 1 | 196 | 196 | Numerator for Colorectal Cancer Screening (COL-E): 51-75 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 197 | 197 | Denominator for Cardiac Rehabilitation Initiation 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 198 | 198 | Numerator Initiation (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 199 | 199 | Denominator for Cardiac Rehabilitation Initiation 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 200 | 200 | Numerator Initiation (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 201 | 201 | Denominator for Cardiac Rehabilitation Engagement 1 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 202 | 202 | Numerator Engagement 1 (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 203 | 203 | Denominator for Cardiac Rehabilitation Engagement 1 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 204 | 204 | Numerator Engagement 1 (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 205 | 205 | Denominator for Cardiac Rehabilitation Engagement 2 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 206 | 206 | Numerator Engagement 2 (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 207 | 207 | Denominator for Cardiac Rehabilitation Engagement 2 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 208 | 208 | Numerator Engagement 2 (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 209 | 209 | Denominator for Cardiac Rehabilitation Achievement 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 210 | 210 | Numerator Achievement (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 211 | 211 | Denominator for Cardiac Rehabilitation Achievement 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 212 | 212 | Numerator Achievement (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 213 | 213 | Denominator for COVID-19 Vaccination Status (CVS): 6 months - 4 years old | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 214 | 214 | Numerator for COVID-19 Vaccination Status (CVS): 6 months - 4 years old | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 215 | 215 | Denominator for COVID-19 Vaccination Status (CVS): 5-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 216 | 216 | Numerator for COVID-19 Vaccination Status (CVS): 5-11 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 217 | 217 | Denominator for COVID-19 Vaccination Status (CVS): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 218 | 218 | Numerator for COVID-19 Vaccination Status (CVS): 12-17 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 219 | 219 | Denominator for COVID-19 Vaccination Status (CVS): 18- 64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 220 | 220 | Numerator for COVID-19 Vaccination Status (CVS): 18-64 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CWP | 2 | 221 | 222 | Denominator for Appropriate Testing for Pharyngitis (CWP): 3-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| CWP | 2 | 223 | 224 | Numerator for Appropriate Testing for Pharyngitis (CWP): 3-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| CWP | 2 | 225 | 226 | Denominator for Appropriate Testing for Pharyngitis (CWP): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| CWP | 2 | 227 | 228 | Numerator for Appropriate Testing for Pharyngitis (CWP): 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| CWP | 2 | 229 | 230 | Denominator for Appropriate Testing for Pharyngitis (CWP): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| CWP | 2 | 231 | 232 | Numerator for Appropriate Testing for Pharyngitis (CWP): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| DEV-N | 1 | 233 | 233 | Denominator for Development Screening 1 (DEV-N) : The children in the eligible population who turned 1 during the measurement year. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DEV-N | 1 | 234 | 234 | Numerator (DEV-N): First Year | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DEV-N | 1 | 235 | 235 | Denominator for Development Screening 2 (DEV-N): The children in the eligible population who turned 2 during the measurement year. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DEV-N | 1 | 236 | 236 | Numerator (DEV-N): Second Year | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DEV-N | 1 | 237 | 237 | Denominator for Development Screening 3 (DEV-N): The children in the eligible population who turned 3 during the measurement year. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DEV-N | 1 | 238 | 238 | Numerator (DEV-N): Third Year | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 239 | 239 | Denominator 1 for Depression Remission or Response (DRR-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 240 | 240 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 241 | 241 | Denominator 1 for Depression Remission or Response (DRR-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 242 | 242 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 18-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 243 | 243 | Denominator 1 for Depression Remission or Response (DRR-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 244 | 244 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 245 | 245 | Denominator 1 for Depression Remission or Response (DRR-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 246 | 246 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 247 | 247 | Denominator 2 for Depression Remission or Response (DRR-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 248 | 248 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 249 | 249 | Denominator 2 for Depression Remission or Response (DRR-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 250 | 250 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 18-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 251 | 251 | Denominator 2 for Depression Remission or Response (DRR-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 252 | 252 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 253 | 253 | Denominator 2 for Depression Remission or Response (DRR-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 254 | 254 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 255 | 255 | Denominator 3 for Depression Remission or Response (DRR-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 256 | 256 | Numerator Depression Response (Population Criteria 3) (DRR-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 257 | 257 | Denominator 3 for Depression Remission or Response (DRR-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 258 | 258 | Numerator Depression Response (Population Criteria 3) (DRR-E): 18-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 259 | 259 | Denominator 3 for Depression Remission or Response (DRR-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 260 | 260 | Numerator Depression Response (Population Criteria 3) (DRR-E): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 261 | 261 | Denominator 3 for Depression Remission or Response (DRR-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 262 | 262 | Numerator Depression Response (Population Criteria 3) (DRR-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 263 | 263 | Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 264 | 264 | Numerator Depression Screening (Population Criteria 1) (DSF-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 265 | 265 | Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 266 | 266 | Numerator Depression Screening (Population Criteria 1) (DSF-E): 18-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 267 | 267 | Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 268 | 268 | Numerator Depression Screening (Population Criteria 1) (DSF-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 269 | 269 | Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 270 | 270 | Numerator Follow-Up on Positive Screen (Population Criteria 2) (DSF-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 271 | 271 | Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 272 | 272 | Numerator Follow-Up on Positive Screen (Population Criteria 2) (DSF-E): 18-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 273 | 273 | Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 274 | 274 | Numerator Follow-Up on Positive Screen (Population Criteria 2) (DSF-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| EED | 1 | 275 | 275 | Denominator for Eye Exam for Patients with Diabetes (EED) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| EED | 1 | 276 | 276 | Numerator for Eye Exam for Patients with Diabetes (EED) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| FUA | 2 | 277 | 278 | Denominator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 13-17 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUA | 2 | 279 | 280 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 13-17 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUA | 2 | 281 | 282 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 13-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUA | 2 | 283 | 284 | Denominator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 18+ years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUA | 2 | 285 | 286 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 18+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUA | 2 | 287 | 288 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 18+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 289 | 290 | Denominator for Follow-Up After Hospitalization for Mental Illness (FUH): 6-17 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 291 | 292 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 6-17 years, 30-day follow-up | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 293 | 294 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 6-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 295 | 296 | Denominator for Follow-Up After Hospitalization for Mental Illness (FUH): 18-64 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 297 | 298 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 18-64 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 299 | 300 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 18-64 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 301 | 302 | Denominator for Follow-Up After Hospitalization for Mental Illness (FUH): 65+ years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 303 | 304 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 65+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 305 | 306 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 65+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 307 | 308 | Denominator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 13-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| FUI | 2 | 309 | 310 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 13-17 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 311 | 312 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 13-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 313 | 314 | Denominator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| FUI | 2 | 315 | 316 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 18-64 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 317 | 318 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 18-64 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 319 | 320 | Denominator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| FUI | 2 | 321 | 322 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 65+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 323 | 324 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 65+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 325 | 326 | Denominator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 6-17 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUM | 2 | 327 | 328 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 6-17 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 329 | 330 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 6-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 331 | 332 | Denominator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 18-64 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUM | 2 | 333 | 334 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 18-64 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 335 | 336 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 18-64 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 337 | 338 | Denominator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 65+ years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUM | 2 | 339 | 340 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 65+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 341 | 342 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 65+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| GSD | 1 | 343 | 343 | Denominator for Glycemic Status Assessment for Patients With Diabetes (GSD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| GSD | 1 | 344 | 344 | Numerator for Glycemic Status <8.0% (GSD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| GSD | 1 | 345 | 345 | Numerator for Glycemic Status 9.0% (GSD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| HDO | 1 | 346 | 346 | Denominator for Use of Opioids at High Dosage (HDO) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| HDO | 1 | 347 | 347 | Numerator for Use of Opioids at High Dosage (HDO) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IET | 2 | 348 | 349 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET) 13-17 years old | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 350 | 351 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment 13-17 year olds Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 352 | 353 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 13-17 years Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 354 | 355 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 13-17 years Opioid Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 356 | 357 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 13-17 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 358 | 359 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 13-17 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 360 | 361 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 13-17 years Other substance use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 362 | 363 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 13-17 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 364 | 365 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 13-17 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 366 | 367 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 years Alcohol Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 368 | 369 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 years Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 370 | 371 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 years Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 372 | 373 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 years Opioid Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 374 | 375 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 376 | 377 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 378 | 379 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 years Other substance use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 380 | 381 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 382 | 383 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 384 | 385 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 65+ years Alcohol Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 386 | 387 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 65+ years Alcohol use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 388 | 389 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 65+ years Alcohol use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 390 | 391 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 65+ years Opioid use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 392 | 393 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 65+ years Opioid use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 394 | 395 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 65+ years Opioid use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 396 | 397 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 65+ other substance use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 398 | 399 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of Other substance use disorder, 65+ other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 400 | 401 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of other substance use disorder 65+ other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IMA | 1 | 402 | 402 | Denominator for Immunizations for Adolescents (IMA) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| IMA | 1 | 403 | 403 | Numerator for Immunizations for Adolescents (IMA): Meningococcal | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 404 | 404 | Numerator for Immunizations for Adolescents (IMA): Tdap | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 405 | 405 | Numerator for Immunizations for Adolescents (IMA): Combo 1 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 406 | 406 | Numerator for Immunizations for Adolescents (IMA): HPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 407 | 407 | Numerator for Immunizations for Adolescents (IMA): Combo 2 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 408 | 408 | Denominator for Immunizations for Adolescents Electronic (IMA-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| IMA-E | 1 | 409 | 409 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Meningococcal | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 410 | 410 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Tdap | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 411 | 411 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Combo 1 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 412 | 412 | Numerator for Immunizations for Adolescents Electronic (IMA-E): HPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 413 | 413 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Combo 2 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| KED | 1 | 414 | 414 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 415 | 415 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 18-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| KED | 1 | 416 | 416 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 65-74 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 417 | 417 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 65-74 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| KED | 1 | 418 | 418 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 75-85 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 419 | 419 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 75-85 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| LBP | 1 | 420 | 420 | Denominator for Use of Imaging Studies for Low Back Pain (LBP), Ages 18-64 Years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| LBP | 1 | 421 | 421 | Numerator for Use of Imaging Studies for Low Back Pain (LBP), Ages 18-64 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| LBP | 1 | 422 | 422 | Denominator for Use of Imaging Studies for Low Back Pain (LBP), Ages 65-75 Years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| LBP | 1 | 423 | 423 | Numerator for Use of Imaging Studies for Low Back Pain (LBP), Ages 65-75 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| LSC | 1 | 424 | 424 | Denominator for Lead Screening in Children (LSC) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| LSC | 1 | 425 | 425 | Numerator for Lead Screening in Children (LSC) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 426 | 426 | Denominator: Oral Evaluation, Dental Services (OED) - 0-2 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 427 | 427 | Numerator: Oral Evaluation, Dental Services (OED) - 0-2 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 428 | 428 | Denominator: Oral Evaluation, Dental Services (OED) -3-5 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 429 | 429 | Numerator: Oral Evaluation, Dental Services (OED) -3-5 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 430 | 430 | Denominator: Oral Evaluation, Dental Services (OED) - 6-14 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 431 | 431 | Numerator: Oral Evaluation, Dental Services (OED) - 6-14 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 432 | 432 | Denominator: Oral Evaluation, Dental Services (OED) - 15-20 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 433 | 433 | Numerator: Oral Evaluation, Dental Services (OED) - 15-20 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| PBH | 1 | 434 | 434 | Denominator for Persistence of Beta-Blocker Treatment After a Heart Attack (PBH) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| PBH | 1 | 435 | 435 | Numerator for Persistence of Beta-Blocker Treatment After a Heart Attack (PBH) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| PCE | 2 | 436 | 437 | Denominator for Pharmacotherapy Management of COPD Exacerbation (PCE) | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| PCE | 2 | 438 | 439 | Numerator for Pharmacotherapy Management of COPD Exacerbation (PCE): Systemic Corticosteroid | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PCE | 2 | 440 | 441 | Numerator for Pharmacotherapy Management of COPD Exacerbation (PCE): Bronchodilator | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PDS-E | 2 | 442 | 443 | Denominator 1 for Postpartum Depression Screening (PDS-E) | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PDS-E | 2 | 444 | 445 | Numerator 1 for Postpartum Depression Screening (PDS-E) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PDS-E | 2 | 446 | 447 | Denominator 2 for Postpartum Depression Follow-up (PDS-E) | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PDS-E | 2 | 448 | 449 | Numerator 2 for Postpartum Depression Follow-up (PDS-E) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PND-E | 2 | 450 | 451 | Denominator for Prenatal Depression Screening and Follow-Up-Electronic (PND-E): Denominator 1 Initial Population | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PND-E | 2 | 452 | 453 | Numerator for Prenatal Depression Screening and Follow-Up-Electronic (PND-E): Numerator 1 Depression Screening | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PND-E | 2 | 454 | 455 | Denominator for Prenatal Depression Screening and Follow Up Electronic (PND-E): Denominator 2 All deliveries from Numerator 1 with a positive finding for depression during pregnancy | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PND-E | 2 | 456 | 457 | Numerator for Prenatal Depression Screening and Follow-Up-Electronic (PND-E): Numerator 2—Follow-Up on Positive Screen | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| POA | 1 | 458 | 458 | Denominator for Use of Pharmacotherapy for Alcohol Use or Dependence (POA) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| POA | 1 | 459 | 459 | Numerator for Use of Pharmacotherapy for Alcohol Use or Dependence (POA) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| POD | 2 | 460 | 461 | Denominator for Pharmacotherapy for Opioid Use Disorder (POD): 16-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| POD | 2 | 462 | 463 | Numerator for Pharmacotherapy for Opioid Use Disorder (POD): 16-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| POD | 2 | 464 | 465 | Denominator for Pharmacotherapy for Opioid Use Disorder (POD): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| POD | 2 | 466 | 467 | Numerator for Pharmacotherapy for Opioid Use Disorder (POD): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| POD-N | 1 | 468 | 468 | Denominator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD-N) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| POD-N | 1 | 469 | 469 | Numerator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD-N) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| PPC | 2 | 470 | 471 | Denominator for Prenatal and Postpartum Care (PPC): Timeliness of Prenatal Care | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PPC | 2 | 472 | 473 | Numerator for Prenatal and Postpartum Care (PPC): Timeliness of Prenatal Care | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PPC | 2 | 474 | 475 | Denominator for Prenatal and Postpartum Care (PPC): Postpartum Care | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PPC | 2 | 476 | 477 | Numerator for Prenatal and Postpartum Care (PPC): Postpartum Care | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PRS-E | 2 | 478 | 479 | Denominator for Prenatal Immunization Status (PRS-E) | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PRS-E | 2 | 480 | 481 | Numerator for Prenatal Immunization Status (PRS-E): Influenza (Population Criteria 1) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PRS-E | 2 | 482 | 483 | Numerator for Prenatal Immunization Status (PRS-E): Td/Tdap (Population Criteria 2) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| SAA | 1 | 484 | 484 | Denominator for Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SAA | 1 | 485 | 485 | Numerator for Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SMC | 1 | 486 | 486 | Denominator for Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC) |
Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SMC | 1 | 487 | 487 | Numerator for Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC) |
Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SMD | 1 | 488 | 488 | Denominator for Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SMD | 1 | 489 | 489 | Numerator for Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 490 | 490 | Social Need Screening and Intervention (SNS-E) Denominator 1: The initial population, minus exclusions. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 491 | 491 | Social Need Screening and Intervention (SNS-E) Numerator 1— Total Number of Members in denominator 1 with a documented result for food insecurity screening performed between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 492 | 492 | Social Need Screening and Intervention (SNS-E) Denominator 2: All members in numerator 1 with a positive food insecurity screen finding between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 493 | 493 | Social Need Screening and Intervention (SNS-E) Numerator 2: Total Number of Members in denominator 2 receiving a food insecurity intervention on or up to 30 days after the date of the first positive food insecurity screen (31 days total). | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 494 | 494 | Social Need Screening and Intervention (SNS-E)Denominator 3 : The initial population, minus exclusions | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 495 | 495 | Social Need Screening and Intervention (SNS-E) Numerator 3: Total Number of Members in denominator 1 with a documented result for housing instability, homelessness or housing inadequacy screening performed between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 496 | 496 | Social Need Screening and Intervention (SNS-E) Denominator 4: All members in numerator 3 with a positive housing instability, homelessness or housing inadequacy screen finding between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 497 | 497 | Social Need Screening and Intervention (SNS-E) Numerator 4—Total Number of Members in denominator 4 receiving an intervention corresponding to the type of housing need identified on or up to 30 days after the date of the first positive housing screen (31 days total). | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 498 | 498 | Social Need Screening and Intervention (SNS-E) Denominator 5: The initial population, minus exclusions. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 499 | 499 | Social Need Screening and Intervention (SNS-E) Numerator 5: Total Number of Members in denominator 5 with a documented result for transportation insecurity screening performed between January 1 and December 1 of the measurement period. |
Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 500 | 500 | Social Need Screening and Intervention (SNS-E) Denominator 6: All members in numerator 5 with a positive transportation insecurity screen finding between January 1 and December 1 of the measurement period | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 501 | 501 | Social Need Screening and Intervention (SNS-E) Numerator 6: Total Number of Members in denominator 6 receiving a transportation insecurity intervention on or up to 30 days after the date of the first positive transportation screen (31 days total). | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 502 | 502 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Received Statin Therapy | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 503 | 503 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Received Statin Therapy | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 504 | 504 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Statin Adherence 80% | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 505 | 505 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Statin Adherence 80% | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 506 | 506 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Received Statin Therapy | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 507 | 507 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Received Statin Therapy | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 508 | 508 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Statin Adherence 80% | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 509 | 509 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Statin Adherence 80% | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPD | 1 | 510 | 510 | Denominator for Statin Therapy for Patients With Diabetes (SPD): Received Statin Therapy | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPD | 1 | 511 | 511 | Numerator for Statin Therapy for Patients With Diabetes (SPD): Received Statin Therapy | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPD | 1 | 512 | 512 | Denominator for Statin Therapy for Patients With Diabetes (SPD): Statin Adherence 80% | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPD | 1 | 513 | 513 | Numerator for Statin Therapy for Patients With Diabetes (SPD): Statin Adherence 80% | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SSD | 1 | 514 | 514 | Denominator for Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SSD | 1 | 515 | 515 | Numerator for Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| TFC | 1 | 516 | 516 | Denominator: Topical Fluoride for Children (TFC) - 1-2 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TFC | 1 | 517 | 517 | Numerator: Topical Fluoride for Children (TFC) - 1-2 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| TFC | 1 | 518 | 518 | Denominator: Topical Fluoride for Children (TFC) - 3-4 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TFC | 1 | 519 | 519 | Numerator: Topical Fluoride for Children (TFC) - 3- 4 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| UOP | 1 | 520 | 520 | Denominator for Use of Opioids from Multiple Providers (UOP) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| UOP | 1 | 521 | 521 | Numerator for Use of Opioids from Multiple Providers (UOP): Multiple prescribers | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| UOP | 1 | 522 | 522 | Numerator for Use of Opioids from Multiple Providers (UOP): Multiple pharmacies | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| UOP | 1 | 523 | 523 | Numerator for Use of Opioids from Multiple Providers (UOP): Multiple prescribers and pharmacies | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| URI | 2 | 524 | 525 | Denominator for Appropriate Treatment for Upper Respiratory Infection (URI): 3 months-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| URI | 2 | 526 | 527 | Numerator for Appropriate Treatment for Upper Respiratory Infection (URI): 3 months-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| URI | 2 | 528 | 529 | Denominator for Appropriate Treatment for Upper Respiratory Infection (URI): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| URI | 2 | 530 | 531 | Numerator for Appropriate Treatment for Upper Respiratory Infection (URI): 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| URI | 2 | 532 | 533 | Denominator for Appropriate Treatment for Upper Respiratory Infection (URI): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| URI | 2 | 534 | 535 | Numerator for Appropriate Treatment for Upper Respiratory Infection (URI): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| W30 | 1 | 536 | 536 | Denominator for Well-Child Visits in the First 15 Months (W30). Children who turned 15 months old during MY: Six or more well-child visits | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| W30 | 1 | 537 | 537 | Numerator for Well-Child Visits in the First 15 Months (W30). Children who turned 15 months old during MY: Six or more well-child visits | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| W30 | 1 | 538 | 538 | Denominator for Well-Child Visits for Age 15 Months-30 Months (W30). Children who turned 30 months old during the MY: Two or more well-child visits. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| W30 | 1 | 539 | 539 | Numerator for Well-Child Visits for Age 15 Months-30 Months (W30). Children who turned 30 months old during the MY: Two or more well-child visits. | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 540 | 540 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 541 | 541 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 542 | 542 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 543 | 543 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 544 | 544 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 545 | 545 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 546 | 546 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 547 | 547 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 548 | 548 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 549 | 549 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 550 | 550 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 551 | 551 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCV | 1 | 552 | 552 | Denominator for Child and Adolescent Well-Care Visits (WCV): 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCV | 1 | 553 | 553 | Numerator for Child and Adolescent Well-Care Visits (WCV): 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCV | 1 | 554 | 554 | Denominator for Child and Adolescent Well-Care Visits (WCV): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCV | 1 | 555 | 555 | Numerator for Child and Adolescent Well-Care Visits (WCV): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCV | 1 | 556 | 556 | Denominator for Child and Adolescent Well-Care Visits (WCV): 18-21 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCV | 1 | 557 | 557 | Numerator for Child and Adolescent Well-Care Visits (WCV): 18-21 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
NYS MY2024 Patient-Level Detail File Change Log
MEDICAID
| Version | Date | Data Element | Change Summary |
|---|---|---|---|
| Specification Release MY2024 | 12/11/2024 | Multiple |
|
| Clarification #1 | 5/9/2024 | Multiple | Source of Race Data
|
| Clarification #2 | 7/2/2024 | Multiple | Asian American Subgroups
|
