Commercial MY2026 PLD File Specifications
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Revision date: 3/10/2026
NYS MY2026 Patient-Level Detail File Specifications
COMMERCIAL
| 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 | CPPO, CEPO, CHMO, EP |
| GENERAL INFO | 30 | 25 | 54 | Member ID | Member ID should be the health plan's internal, individual member identifier. Do not report a family identifier, and do not report the identifier used in HEDIS. For the Essential Plan, report the NYS-issued member ID. The NYS-issued member ID for non-Aliessa members should be an 8-digit number beginning with 7. For Aliessa members, report the assigned CIN, an 8-digit number starting with two alpha characters followed by five digits and one alpha. |
| GENERAL INFO | 9 | 55 | 63 | Member Attributed Practice Tax ID# | Enter the 9-digit Federally assigned Tax Identification Number for the Practice of the member's provider. Populate with valid TINs only. If unavailable or invalid set to '999999999' |
| GENERAL INFO | 10 | 64 | 73 | Member Attributed Physician NPI | Populate with valid NPIs only. This is the unique 10-digit National Provider Identifier (NPI) of the provider/organization the member was serviced by during the reporting period. This should be a provider that had frequent contact with the member and, therefore, could potentially affect the need for hospitalization or not. For more details regarding NPI reporting, refer to the 2026 NYS Patient-Level Detail (PLD) File Specifications section of the MY2026 QARR Technical Specifications Manual |
| GENERAL INFO | 8 | 74 | 81 | Member 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 | 82 | 83 | 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 | 84 | 84 | 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 | 85 | 86 | Race | Enter the member's race: 01=White 02=Black or African American 03=American Indian or Alaskan Native 04=Asian 05=Native Hawaiian or Pacific Islander 06=Middle Eastern or North African 07=Some Other Race 08=Two or More Races 09=Asked But No Answer 10=Unknown |
| GENERAL INFO | 1 | 87 | 87 | 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 | 88 | 89 | 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 | 90 | 90 | 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 | 91 | 93 | 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)> 2026> NYS QARR Language Value Set webpage. 197=Unknown 199=Declined |
| GENERAL INFO | 3 | 94 | 96 | County of Residence | Enter the 3-digit county FIPS code for each member's residence of county. For more details regarding FIPS Codes, refer to the FIPS County Codes section of the MY2026 QARR Technical Specifications Manual. ### = FIPS Code 000= Outside of NYS 999 = Unknown |
| PLAN CATEGORY | 1 | 97 | 97 | Essential Plan category for the member. This field only applies to members enrolled in an Essential Plan product. Enter '0' for members enrolled in Commercial HMO and PPO products. | 0 = Not Applicable (for Commercial LOB ONLY not a valid category for Essential Plan) 1 = Essential Plan 1: Individuals with income greater than 150 percent of the FPL and less than or equal to 200 percent of the FPL. 2 = Essential Plan 2: Individuals with income greater than 138 percent of the FPL and less than or equal to 150 percent of the FPL. 3 = Essential Plan 3: Individuals with income equal to or greater than 100 percent of the FPL and less than or equal to 138 percent of the FPL and not eligible for Medicaid due to immigration status. 4 = Essential Plan 4: Individuals with income below 100 percent of the FPL and not eligible for Medicaid due to immigration status. 5= Essential Plan 200-250: Individuals with income greater than 200 percent of the FPL and less than or equal to 250 percent of the FPL. 9 = Unknown |
| AAB | 2 | 98 | 99 | 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 | 100 | 101 | 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 | 102 | 103 | 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 | 104 | 105 | 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 | 106 | 107 | 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 | 108 | 109 | 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 |
| AAF-E | 2 | 110 | 111 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 5-11 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 112 | 113 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 5-11 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 |
| AAF-E | 2 | 114 | 115 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 12-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 116 | 117 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 12-17 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 |
| AAF-E | 2 | 118 | 119 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 18-50 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 120 | 121 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 18-50 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 |
| AAF-E | 2 | 122 | 123 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 51-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 124 | 125 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Diagnosed: 51-64 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 |
| AAF-E | 2 | 126 | 127 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 5-11 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 128 | 129 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 5-11 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 |
| AAF-E | 2 | 130 | 131 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 12-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 132 | 133 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 12-17 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 |
| AAF-E | 2 | 134 | 135 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 18-50 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 136 | 137 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 18-50 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 |
| AAF-E | 2 | 138 | 139 | Denominator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 51-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAF-E | 2 | 140 | 141 | Numerator for Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E) COPD Not Diagnosed: 51-64 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 |
| AAP | 1 | 142 | 142 | 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 | 143 | 143 | 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 | 144 | 144 | 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 | 145 | 145 | 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 | 146 | 146 | 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 | 147 | 147 | 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 | 148 | 148 | Denominator for Follow-Up Care for Children Prescribed ADHD Medication Electronic (ADD-E): (6-12 years) Initiation Phase | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ADD-E | 1 | 149 | 149 | Numerator for Follow-Up Care for Children Prescribed ADHD Medication Electronic (ADD-E): (6-12 years) 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 | 150 | 150 | Denominator for Follow-Up Care for Children Prescribed ADHD Medication Electronic (ADD-E): (6-12 years) 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 | 151 | 151 | Numerator for Follow-Up Care for Children Prescribed ADHD Medication Electronic (ADD-E): (6-12 years) 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 | 152 | 152 | Denominator 1: Adult Immunization Status (AIS-E): Immunization status—Influenza [Members 19 - 64 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 153 | 153 | Numerator 1: Adult Immunization Status (AIS-E): Immunization status—Influenza [Members 19 - 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 |
| AIS-E | 1 | 154 | 154 | Denominator 1: Adult Immunization Status (AIS-E): Immunization status—Influenza [Members 65 and older] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 155 | 155 | Numerator 1: Adult Immunization Status (AIS-E): Immunization status—Influenza [Members 65 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 | 156 | 156 | Denominator 2: Adult Immunization Status (AIS-E): Immunization status—Td/Tdap [Members 19 - 64 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 157 | 157 | Numerator 2: Adult Immunization Status (AIS-E): Immunization status—Td/Tdap [Members 19 - 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 |
| AIS-E | 1 | 158 | 158 | Denominator 2: Adult Immunization Status (AIS-E): Immunization status—Td/Tdap [Members 65 and older] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 159 | 159 | Numerator 2: Adult Immunization Status (AIS-E): Immunization status—Td/Tdap [Members 65 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 | 160 | 160 | Denominator 3: Adult Immunization Status (AIS-E): Immunization status—Zoster [Members 50 - 64 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 161 | 161 | Numerator 3: Adult Immunization Status (AIS-E): Immunization status—Zoster [Members 50 - 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 |
| AIS-E | 1 | 162 | 162 | Denominator 3: Adult Immunization Status (AIS-E): Immunization status—Zoster [Members 65 and older] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 163 | 163 | Numerator 3: Adult Immunization Status (AIS-E): Immunization status—Zoster [Members 65 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 | 164 | 164 | Denominator 4: Adult Immunization Status (AIS-E):Immunization status—Pneumococcal [Members 65 years and older] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 165 | 165 | Numerator 4: Adult Immunization Status (AIS-E): Immunization status—Pneumococcal [Members 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 |
| AIS-E | 1 | 166 | 166 | Denominator 5: Adult Immunization Status (AIS-E): Immunization status—Hepatitis B [Members 19 - 30 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 167 | 167 | Numerator 5: Adult Immunization Status (AIS-E): Immunization status—Hepatitis B [Members 19 - 30 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 | 168 | 168 | Denominator 5: Adult Immunization Status (AIS-E): Immunization status—Hepatitis B [Members 31 - 59 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 169 | 169 | Numerator 5: Adult Immunization Status (AIS-E): Immunization status—Hepatitis B [Members 31 - 59 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 | 170 | 170 | Denominator 6: Adult Immunization Status (AIS-E): Immunization status—COVID-19 [Members 65 years and older] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 171 | 171 | Numerator 6: Adult Immunization Status (AIS-E): Immunization status—COVID-19 [Members 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 |
| APM-E | 1 | 172 | 172 | 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 | 173 | 173 | 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 | 174 | 174 | 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 | 175 | 175 | 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 | 176 | 176 | 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 | 177 | 177 | 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 | 178 | 178 | 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 | 179 | 179 | 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 | 180 | 180 | 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 | 181 | 181 | 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 |
| ASF-E | 1 | 182 | 182 | Denominator 1: Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ASF-E | 1 | 183 | 183 | Numerator 1: Unhealthy Alcohol Use Screening and Follow-Up (ASF-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 |
| ASF-E | 1 | 184 | 184 | Denominator 2: Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ASF-E | 1 | 185 | 185 | Numerator 2: Unhealthy Alcohol Use Screening and Follow-Up (ASF-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 |
| ASF-E | 1 | 186 | 186 | Denominator 1: Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ASF-E | 1 | 187 | 187 | Numerator 1: Unhealthy Alcohol Use Screening and Follow-Up (ASF-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 |
| ASF-E | 1 | 188 | 188 | Denominator 2: Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ASF-E | 1 | 189 | 189 | Numerator 2: Unhealthy Alcohol Use Screening and Follow-Up (ASF-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 |
| ASF-E | 1 | 190 | 190 | Denominator 1: Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ASF-E | 1 | 191 | 191 | Numerator 1: Unhealthy Alcohol Use Screening and Follow-Up (ASF-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 |
| ASF-E | 1 | 192 | 192 | Denominator 2: Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ASF-E | 1 | 193 | 193 | Numerator 2: Unhealthy Alcohol Use Screening and Follow-Up (ASF-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 |
| AXR | 2 | 194 | 195 | 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 | 196 | 197 | 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 | 198 | 199 | 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 | 200 | 201 | 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 | 202 | 203 | 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 | 204 | 205 | Numerator for Antibiotic Utilization for Respiratory Conditions (AXR) 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 | 206 | 206 | Denominator for Breast Cancer Screening (BCS-E): (42-51 years) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BCS-E | 1 | 207 | 207 | Numerator for Breast Cancer Screening (BCS-E): (42-51 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 |
| BCS-E | 1 | 208 | 208 | Denominator for Breast Cancer Screening (BCS-E): (51-74 years) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BCS-E | 1 | 209 | 209 | Numerator for Breast Cancer Screening (BCS-E): (51-74 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 |
| BPC-E | 1 | 210 | 210 | Denominator for Blood Pressure Control for Patients With Hypertension (BPC-E): 18–85 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BPC-E | 1 | 211 | 211 | Numerator for Blood Pressure Control for Patients With Hypertension (BPC-E): 18–85 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 |
| BPD | 1 | 212 | 212 | Denominator for Blood Pressure Control for Patients with Diabetes (BPD): 18-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BPD | 1 | 213 | 213 | Numerator for Blood Pressure Control for Patients with Diabetes (BPD): 18-75 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 |
| BPD-E | 1 | 214 | 214 | Denominator for Blood Pressure Control for Patients with Diabetes (BPD-E): 18-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BPD-E | 1 | 215 | 215 | Numerator for Blood Pressure Control for Patients with Diabetes (BPD-E): 18-75 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 |
| CBP | 1 | 216 | 216 | Denominator for Controlling High Blood Pressure (CBP): 18-85 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CBP | 1 | 217 | 217 | Numerator for Controlling High Blood Pressure (CBP): 18-85 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 |
| CCS-E | 1 | 218 | 218 | Denominator for Cervical Cancer Screening Electronic (CCS-E): 21-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CCS-E | 1 | 219 | 219 | Numerator for Cervical Cancer Screening Electronic (CCS-E): 21-64 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 |
| CET | 1 | 220 | 220 | Denominator for Continued Engagement in Substance Use Disorder Treatment (CET): 18+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CET | 1 | 221 | 221 | Numerator for Continued Engagement in Substance Use Disorder Treatment (CET): 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 |
| CHL | 1 | 222 | 222 | Denominator for Chlamydia Screening (CHL): 16-20 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CHL | 1 | 223 | 223 | Numerator for Chlamydia Screening (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 | 224 | 224 | Denominator for Chlamydia Screening (CHL): 21-24 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CHL | 1 | 225 | 225 | Numerator for Chlamydia Screening (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-E | 1 | 226 | 226 | Denominator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CIS-E | 1 | 227 | 227 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 228 | 228 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 229 | 229 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 230 | 230 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 231 | 231 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 232 | 232 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 233 | 233 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 234 | 234 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 235 | 235 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 236 | 236 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 237 | 237 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 238 | 238 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 239 | 239 | Numerator for Childhood Immunization Status Electronic (CIS-E): completed by age 2 - 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 | 240 | 240 | 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 | 241 | 241 | 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 | 242 | 242 | 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 | 243 | 243 | 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 |
| COU | 1 | 244 | 244 | Denominator for Risk of Continued Opioid Use (COU):18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| COU | 1 | 245 | 245 | Numerator 1: for Risk of Continued Opioid Use (COU): 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 |
| COU | 1 | 246 | 246 | Numerator 2: for Risk of Continued Opioid Use (COU):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 |
| COU | 1 | 247 | 247 | Denominator for Risk of Continued Opioid Use (COU): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| COU | 1 | 248 | 248 | Numerator 1: for Risk of Continued Opioid Use (COU): 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 |
| COU | 1 | 249 | 249 | Numerator 2: for Risk of Continued Opioid Use (COU): 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 |
| CRE | 1 | 250 | 250 | Denominator for Cardiac Rehabilitation Initiation (CRE): 18-64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 251 | 251 | 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 | 252 | 252 | Denominator for Cardiac Rehabilitation Initiation (CRE): 65+ | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 253 | 253 | 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 | 254 | 254 | Denominator for Cardiac Rehabilitation Engagement 1 (CRE): 18-64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 255 | 255 | 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 | 256 | 256 | Denominator for Cardiac Rehabilitation Engagement 1 (CRE): 65+ | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 257 | 257 | 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 | 258 | 258 | Denominator for Cardiac Rehabilitation Engagement 2 (CRE): 18-64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 259 | 259 | 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 | 260 | 260 | 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 | 261 | 261 | 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 | 262 | 262 | Denominator for Cardiac Rehabilitation Achievement (CRE): 18-64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 263 | 263 | 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 | 264 | 264 | 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 | 265 | 265 | 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 | 266 | 266 | 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 | 267 | 267 | 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 | 268 | 268 | 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 | 269 | 269 | 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 | 270 | 270 | 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 | 271 | 271 | 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 | 272 | 272 | 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 | 273 | 273 | 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 | 274 | 275 | 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 | 276 | 277 | 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 | 278 | 279 | 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 | 280 | 281 | 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 | 282 | 283 | 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 | 284 | 285 | 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 |
| DBM-E | 2 | 286 | 287 | Denominator for Documented Assessment After Mammogram (DBM-E): members aged 40–74 | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DBM-E | 2 | 288 | 289 | Numerator for Documented Assessment After Mammogram (DBM-E): members aged 40–74 | 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 | 290 | 290 | 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 | 291 | 291 | Numerator for Development Screening 3 (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 | 292 | 292 | 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 | 293 | 293 | Numerator for Development Screening 3 (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 | 294 | 294 | 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 | 295 | 295 | Numerator for Development Screening 3 (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 |
| DMH | 1 | 296 | 296 | Denominator for Diagnosed Mental Health Disorders (DMH): 1-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DMH | 1 | 297 | 297 | Numerator for Diagnosed Mental Health Disorders (DMH): 1-17 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 |
| DMH | 1 | 298 | 298 | Denominator for Diagnosed Mental Health Disorders (DMH): 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DMH | 1 | 299 | 299 | Numerator for Diagnosed Mental Health Disorders (DMH):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 |
| DMH | 1 | 300 | 300 | Denominator for Diagnosed Mental Health Disorders (DMH): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DMH | 1 | 301 | 301 | Numerator for Diagnosed Mental Health Disorders (DMH): 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 |
| DMS-E | 2 | 302 | 303 | Denominator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 1: January 1–April 30: 12-17 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 304 | 305 | Denominator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 2: May 1–August 31: 12-17 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 306 | 307 | Denominator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 3: September 1–December 31: 12-17 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 308 | 309 | Numerator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 1: 12-17 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 |
| DMS-E | 2 | 310 | 311 | Numerator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 2: 12-17 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 |
| DMS-E | 2 | 312 | 313 | Numerator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 3: 12-17 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 |
| DMS-E | 2 | 314 | 315 | Denominator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 1: January 1–April 30: 18-44 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 316 | 317 | Denominator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 2: May 1–August 31: 18-44 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 318 | 319 | Denominator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 3: September 1–December 31: 18-44 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 320 | 321 | Numerator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 1: 18-44 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 |
| DMS-E | 2 | 322 | 323 | Numerator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 2: 18-44 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 |
| DMS-E | 2 | 324 | 325 | Numerator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 3: 18-44 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 |
| DMS-E | 2 | 326 | 327 | Denominator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 1: January 1–April 30: 45-64 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 328 | 329 | Denominator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 2: May 1–August 31: 45-64 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 330 | 331 | Denominator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 3: September 1–December 31: 45-64 years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 332 | 333 | Numerator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 1: 45-64 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 |
| DMS-E | 2 | 334 | 335 | Numerator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 2: 45-64 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 |
| DMS-E | 2 | 336 | 337 | Numerator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 3: 45-64 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 |
| DMS-E | 2 | 338 | 339 | Denominator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 1: January 1–April 30: 65+ years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 340 | 341 | Denominator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 2: May 1–August 31: 65+ years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 342 | 343 | Denominator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Assessment period 3: September 1–December 31: 65+ years. |
Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| DMS-E | 2 | 344 | 345 | Numerator 1: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 1: 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 |
| DMS-E | 2 | 346 | 347 | Numerator 2: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 2: 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 |
| DMS-E | 2 | 348 | 349 | Numerator 3: Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E); Period 3: 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 |
| DRR-E | 1 | 350 | 350 | 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 | 351 | 351 | 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 | 352 | 352 | 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 | 353 | 353 | 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 | 354 | 354 | 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 | 355 | 355 | 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 | 356 | 356 | 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 | 357 | 357 | 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 | 358 | 358 | 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 | 359 | 359 | 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 | 360 | 360 | 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 | 361 | 361 | 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 | 362 | 362 | 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 | 363 | 363 | 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 | 364 | 364 | 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 | 365 | 365 | 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 | 366 | 366 | 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 | 367 | 367 | 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 | 368 | 368 | 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 | 369 | 369 | 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 | 370 | 370 | 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 | 371 | 371 | 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 | 372 | 372 | 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 | 373 | 373 | 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 | 374 | 374 | Denominator 1 for Depression Screening and Follow-up (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 | 375 | 375 | 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 | 376 | 376 | Denominator 1 for Depression Screening and Follow-up (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 | 377 | 377 | 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 | 378 | 378 | Denominator 1 for Depression Screening and Follow-up (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 | 379 | 379 | 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 | 380 | 380 | Denominator 2 for Depression Screening and Follow-up (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 | 381 | 381 | 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 | 382 | 382 | Denominator 2 for Depression Screening and Follow-up (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 | 383 | 383 | 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 | 384 | 384 | Denominator 2 for Depression Screening and Follow-up (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 | 385 | 385 | 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 |
| DSU | 1 | 386 | 386 | Denominator for Diagnosed Substance Use Disorder (DSU): Ages 13-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSU | 1 | 387 | 387 | Numerator 1 for Diagnosed Substance Use Disorder (DSU):Alcohol use disorder - 13-17 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 |
| DSU | 1 | 388 | 388 | Numerator 2 for Diagnosed Substance Use Disorder (DSU):Opioid use disorder - 13-17 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 |
| DSU | 1 | 389 | 389 | Numerator 3 for Diagnosed Substance Use Disorder (DSU):Other substance use disorder - 13-17 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 |
| DSU | 1 | 390 | 390 | Numerator 4 for Diagnosed Substance Use Disorder (DSU):Any substance use disorder - 13-17 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 |
| DSU | 1 | 391 | 391 | Denominator for Diagnosed Substance Use Disorder (DSU): Ages 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSU | 1 | 392 | 392 | Numerator 1 for Diagnosed Substance Use Disorder (DSU):Alcohol use disorder - 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 |
| DSU | 1 | 393 | 393 | Numerator 2 for Diagnosed Substance Use Disorder (DSU):Opioid use disorder - 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 |
| DSU | 1 | 394 | 394 | Numerator 3 for Diagnosed Substance Use Disorder (DSU): Other substance use disorder - 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 |
| DSU | 1 | 395 | 395 | Numerator 4 for Diagnosed Substance Use Disorder (DSU):Any substance use disorder - 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 |
| DSU | 1 | 396 | 396 | Denominator for Diagnosed Substance Use Disorder (DSU):Ages 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSU | 1 | 397 | 397 | Numerator 1 for Diagnosed Substance Use Disorder (DSU):Alcohol use disorder - 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 |
| DSU | 1 | 398 | 398 | Numerator 2 for Diagnosed Substance Use Disorder (DSU):Opioid use disorder - 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 |
| DSU | 1 | 399 | 399 | Numerator 3 for Diagnosed Substance Use Disorder (DSU): Other substance use disorder - 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 |
| DSU | 1 | 400 | 400 | Numerator 4 for Diagnosed Substance Use Disorder (DSU): Any substance use disorder - 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 | 401 | 401 | Denominator for Eye Exam for Patients with Diabetes (EED): 18-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| EED | 1 | 402 | 402 | Numerator for Eye Exam for Patients with Diabetes (EED): 18-75 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 |
| FMA-E | 2 | 403 | 404 | Denominator for Follow-Up After Abnormal Mammogram Assessment (FMA-E): members aged 40–74 | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| FMA-E | 2 | 405 | 406 | Numerator for Follow-Up After Abnormal Mammogram Assessment (FMA-E): members aged 40–74 | 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 | 407 | 408 | 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 | 409 | 410 | 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 | 411 | 412 | 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 | 413 | 414 | 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 | 415 | 416 | 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 | 417 | 418 | 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 | 419 | 420 | 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 | 421 | 422 | 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 numerator '0' if the member is not in the numerator |
| FUH | 2 | 423 | 424 | 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 | 425 | 426 | 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 | 427 | 428 | 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 | 429 | 430 | 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 | 431 | 432 | 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 | 433 | 434 | 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 | 435 | 436 | 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 | 437 | 438 | 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 | 439 | 440 | 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 | 441 | 442 | 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 | 443 | 444 | 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 | 445 | 446 | 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 | 447 | 448 | 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 | 449 | 450 | 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 | 451 | 452 | 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 | 453 | 454 | 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 | 455 | 456 | 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 | 457 | 458 | 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 | 459 | 460 | 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 | 461 | 462 | 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 | 463 | 464 | 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 | 465 | 466 | 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 | 467 | 468 | 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 | 469 | 470 | 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 | 471 | 472 | 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 | 473 | 473 | Denominator for Glycemic Status Assessment for Patients With Diabetes (GSD): 18-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| GSD | 1 | 474 | 474 | Numerator for Glycemic Status <8.0% (GSD): 18-75 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 |
| GSD | 1 | 475 | 475 | Numerator for Glycemic Status >9.0% (GSD): 18-75 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 |
| HDO | 1 | 476 | 476 | Denominator for Use of Opioids at High Dosage (HDO): 18+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| HDO | 1 | 477 | 477 | Numerator for Use of Opioids at High Dosage (HDO): 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 |
| IET | 2 | 478 | 479 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 13-17 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 | 480 | 481 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation 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 | 482 | 483 | 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 | 484 | 485 | 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 | 486 | 487 | 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 | 488 | 489 | 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 | 490 | 491 | 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 | 492 | 493 | 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 | 494 | 495 | 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 | 496 | 497 | 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 | 498 | 499 | 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 | 500 | 501 | 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 | 502 | 503 | 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 | 504 | 505 | 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 | 506 | 507 | 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 | 508 | 509 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 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 | 510 | 511 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 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 | 512 | 513 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 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 | 514 | 515 | 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 | 516 | 517 | 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 | 518 | 519 | 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 | 520 | 521 | 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 | 522 | 523 | 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 | 524 | 525 | 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 | 526 | 527 | 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 | 528 | 529 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 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 | 530 | 531 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 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-E | 1 | 532 | 532 | Denominator for Immunizations for Adolescents Electronic (IMA-E): completed by age 13 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| IMA-E | 1 | 533 | 533 | Numerator for Immunizations for Adolescents Electronic (IMA-E): completed by age 13 - 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 | 534 | 534 | Numerator for Immunizations for Adolescents Electronic (IMA-E): completed by age 13 - 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 | 535 | 535 | Numerator for Immunizations for Adolescents Electronic (IMA-E): completed by age 13 - 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 | 536 | 536 | Numerator for Immunizations for Adolescents Electronic (IMA-E): completed by age 13 - 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 | 537 | 537 | Numerator for Immunizations for Adolescents Electronic (IMA-E): completed by age 13 - 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 | 538 | 538 | 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 | 539 | 539 | 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 | 540 | 540 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 65-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 541 | 541 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 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 |
| KED | 1 | 542 | 542 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 76-85 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 543 | 543 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 76-85 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 | 544 | 544 | 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 | 545 | 545 | 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 | 546 | 546 | 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 | 547 | 547 | 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-E | 1 | 548 | 548 | Denominator for Lead Screening in Children (LSC-E): completed by age 2 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| LSC-E | 1 | 549 | 549 | Numerator for Lead Screening in Children (LSC-E): completed by age 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 |
| PBH | 1 | 550 | 550 | Denominator for Persistence of Beta-Blocker Treatment After a Heart Attack (PBH): 18+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| PBH | 1 | 551 | 551 | Numerator for Persistence of Beta-Blocker Treatment After a Heart Attack (PBH): 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 |
| PCE | 2 | 552 | 553 | Denominator for Pharmacotherapy Management of COPD Exacerbation (PCE): 40+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| PCE | 2 | 554 | 555 | Numerator for Pharmacotherapy Management of COPD Exacerbation (PCE): 40+ years - 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 | 556 | 557 | Numerator for Pharmacotherapy Management of COPD Exacerbation (PCE): 40+ years - 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 | 558 | 559 | 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 | 560 | 561 | 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 | 562 | 563 | 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 | 564 | 565 | 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 | 566 | 567 | 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 | 568 | 569 | 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 | 570 | 571 | 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 | 572 | 573 | 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 |
| POD | 2 | 574 | 575 | Denominator for Pharmacotherapy for Opioid 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 | 576 | 577 | Numerator for Pharmacotherapy for Opioid 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 | 578 | 579 | Denominator for Pharmacotherapy for Opioid 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 | 580 | 581 | Numerator for Pharmacotherapy for Opioid 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 |
| PPC | 2 | 582 | 583 | 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 | 584 | 585 | 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 | 586 | 587 | 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 | 588 | 589 | 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 | 590 | 591 | 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 | 592 | 593 | 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 | 594 | 595 | 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 | 596 | 596 | Denominator for Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA): 18+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SAA | 1 | 597 | 597 | Numerator for Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA): 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 |
| SNS-E | 1 | 598 | 598 | 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 | 599 | 599 | 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 | 600 | 600 | 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 | 601 | 601 | 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 | 602 | 602 | 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 | 603 | 603 | Social Need Screening and Intervention (SNS-E) Numerator 3: Total Number of Members in denominator 3 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 | 604 | 604 | 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 | 605 | 605 | 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 | 606 | 606 | 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 | 607 | 607 | 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 | 608 | 608 | 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 | 609 | 609 | 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-E | 1 | 610 | 610 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC-E): Age 21-75, Received Statin Therapy | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC-E | 1 | 611 | 611 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC-E): Age 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-E | 1 | 612 | 612 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC-E): Age 21-75, Statin Adherence 80% | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC-E | 1 | 613 | 613 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC-E): Age 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 |
| SPD-E | 1 | 614 | 614 | Denominator for Statin Therapy for Patients With Diabetes (SPD-E) - Received Statin Therapy: Ages 40-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPD-E | 1 | 615 | 615 | Numerator for Statin Therapy for Patients With Diabetes (SPD-E) - Received Statin Therapy: Ages 40-75 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 |
| SPD-E | 1 | 616 | 616 | Denominator for Statin Therapy for Patients With Diabetes (SPD-E) - Statin Adherence 80%: Ages 40-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPD-E | 1 | 617 | 617 | Numerator for Statin Therapy for Patients With Diabetes (SPD-E) - Statin Adherence 80%: Ages 40-75 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 |
| TSC-E | 1 | 618 | 618 | Denominator 1 for Tobacco Use Screening and Cessation Intervention (TSC-E): Ages 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TSC-E | 1 | 619 | 619 | Numerator 1 for Tobacco Use Screening and Cessation Intervention (TSC-E) - Tobacco Use Screening: Ages 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 |
| TSC-E | 1 | 620 | 620 | Denominator 2 for Tobacco Use Screening and Cessation Intervention (TSC-E): Ages 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TSC-E | 1 | 621 | 621 | Numerator 2 for Tobacco Use Screening and Cessation Intervention (TSC-E) - Cessation Intervention: Ages 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 |
| TSC-E | 1 | 622 | 622 | Denominator 1 for Tobacco Use Screening and Cessation Intervention (TSC-E): Ages 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TSC-E | 1 | 623 | 623 | Numerator 1 for Tobacco Use Screening and Cessation Intervention (TSC-E) - Tobacco Use Screening: 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 |
| TSC-E | 1 | 624 | 624 | Denominator 2 for Tobacco Use Screening and Cessation Intervention (TSC-E): Ages 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TSC-E | 1 | 625 | 625 | Numerator 2 for Tobacco Use Screening and Cessation Intervention (TSC-E) - Cessation Intervention: 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 |
| TSC-E | 1 | 626 | 626 | Denominator 1 for Tobacco Use Screening and Cessation Intervention (TSC-E): Ages 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TSC-E | 1 | 627 | 627 | Numerator 1 for Tobacco Use Screening and Cessation Intervention (TSC-E) - Tobacco Use Screening: Ages 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 |
| TSC-E | 1 | 628 | 628 | Denominator 2 for Tobacco Use Screening and Cessation Intervention (TSC-E): Ages 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TSC-E | 1 | 629 | 629 | Numerator 2 for Tobacco Use Screening and Cessation Intervention (TSC-E) - Cessation Intervention: Ages 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 |
| UOP | 1 | 630 | 630 | Denominator for Use of Opioids from Multiple Providers (UOP): 18+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| UOP | 1 | 631 | 631 | Numerator for Use of Opioids from Multiple Providers (UOP): 18+ years - 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 | 632 | 632 | Numerator for Use of Opioids from Multiple Providers (UOP): 18+ years - 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 | 633 | 633 | Numerator for Use of Opioids from Multiple Providers (UOP): 18+ years - 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 | 634 | 635 | 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 | 636 | 637 | 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 | 638 | 639 | 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 | 640 | 641 | 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 | 642 | 643 | 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 | 644 | 645 | 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 | 646 | 646 | Denominator for Well-Child Visits in the First 15 Months. Children who turned 15 months old during MY (W30): 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 | 647 | 647 | Numerator for Well-Child Visits in the First 15 Months. Children who turned 15 months old during MY (W30): 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 | 648 | 648 | Denominator for Well-Child Visits for Age 15 Months-30 Months. Children who turned 30 months old during the MY (W30): 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 | 649 | 649 | Numerator for Well-Child Visits for Age 15 Months-30 Months. Children who turned 30 months old during the MY (W30): 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 | 650 | 650 | 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 | 651 | 651 | 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 | 652 | 652 | 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 | 653 | 653 | 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 | 654 | 654 | 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 | 655 | 655 | 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 | 656 | 656 | 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 | 657 | 657 | 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 | 658 | 658 | 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 | 659 | 659 | 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 | 660 | 660 | 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 | 661 | 661 | 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 | 662 | 662 | 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 | 663 | 663 | 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 | 664 | 664 | 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 | 665 | 665 | 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 | 666 | 666 | 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 | 667 | 667 | 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 MY2026 Patient-Level Detail File Change Log
COMMERCIAL
| Version | Date | Data Element | Change Summary |
|---|---|---|---|
| MY2026 | 3/10/2026 | Multiple | Member Attributed Practice Tax ID# - REQUIRED for MY2026. Member Attributed Physician NPI - REQUIRED for MY2026. Race - HEDIS race reporting was updated to include ten race stratifications, as defined by the Office of Management and Budget (OMB) Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. To align with HEDIS updated categories, Middle Eastern or North African (MENA) has been added as a Race category. Language Spoken: Updated Value Set and link to webpage. County of Residence: Updated reference material information and link. Plan Category: Updated 0=Not Applicable definition Follow-Up After Acute and Urgent Care Visits for Asthma (AAF-E): Is a new HEDIS measure for MY2026 and has been added as a required ECDS measure.Column numbering has been updated accordingly. Adult Immunization Status (AIS-E): Updated specifications to align with HEDIS specifications for MY2026. Asthma Medication Ratio (AMR): Has been retired by HEDIS for MY2026 and removed as a required measure. Column numbering has been updated accordingly. Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): Added, Reporting REQUIRED for MY2026.Column numbering has been updated accordingly. Blood Pressure Control for Patients with Diabetes (BPD-E): Is a new HEDIS EDCS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly. Risk of Continued Opioid Use (COU): Added, Reporting REQUIRED for MY2026.Column numbering has been updated accordingly. Diagnosed Mental Health Disorders (DMH): Added, Reporting REQUIRED for MY2026.Column numbering has been updated accordingly. Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E): Added, Reporting REQUIRED for MY2026.Column numbering has been updated accordingly. Diagnosed Substance Use Disorder (DSU): Added, Reporting REQUIRED for MY2026.Column numbering has been updated accordingly Lead Screening in Children (LSC): Has been retired by HEDIS for MY2026 and removed as a required measure. Column numbering has been updated accordingly. Lead Screening in Children (LSC-E): Is a new HEDIS EDCS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly. Social Need Screening and Intervention (SNS-E): Updated specifications for Denominators 2, 4, & 6 and Numerators 1, 3 & 5 to align with HEDIS specifications for MY2026. Statin Therapy for Patients With Cardiovascular Disease (SPC): Has been retired by HEDIS for MY2026 and removed as a required measure. Column numbering has been updated accordingly. Statin Therapy for Patients With Cardiovascular Disease (SPC-E): Is a new HEDIS EDCS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly. Statin Therapy for Patients With Diabetes (SPD): Has been retired by HEDIS for MY2026 and removed as a required measure. Column numbering has been updated accordingly. Statin Therapy for Patients With Diabetes (SPD-E): Is a new HEDIS EDCS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly. Tobacco Use Screening and Cessation Intervention (TSC-E): Is a new HEDIS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly. |
