Commercial MY2026 PLD File Specifications

Revision date: 5/20/2026

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 (MENA)
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, Middle Eastern or North African, 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, Middle Eastern or North African, 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 2 91 92 Middle Eastern or North African Subgroups (MENA) If member's race is White, Black or African American, American Indian/Alaskan Native, Asian, Native Hawaiian/Pacific Islander, Two Or More Races, Other Race, Asked But No Answer, or Unknown then Enter:
0=Not Applicable

If member's race is Middle Eastern or North African (MENA) then identify the specific subgroup:
01=Egyptian
02=Moroccan
03=Algerian
04=Sudanese
05=Tunisian
06=Libyan
07=Yemeni
08=Iranian
09=Palestinian
10=Iraqi
11=Lebanese
12=Israeli
13=Jordanian
14=Syrian
15=Armenian
16=Saudi
17=Two or more Middle Eastern or North African subgroups
18=Unknown Middle Eastern or North African groups
19=Declined
20=Other Middle Eastern or North African groups
GENERAL INFO 3 93 95 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 96 98 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 99 99 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 2 100 101 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 2 102 103 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 2 104 105 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 2 106 107 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 2 108 109 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 2 110 111 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 2 112 113 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 2 114 115 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 2 116 117 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 2 118 119 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 2 120 121 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 2 122 123 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 2 124 125 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 2 126 127 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 2 128 129 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 2 130 131 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 2 132 133 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 2 134 135 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 2 136 137 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 2 138 139 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 2 140 141 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 2 142 143 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 1 144 144 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 1 145 145 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 1 146 146 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 1 147 147 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 1 148 148 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 1 149 149 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 1 150 150 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 1 151 151 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 1 152 152 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 1 153 153 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 1 154 154 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 1 155 155 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 1 156 156 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 1 157 157 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 1 158 158 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 1 159 159 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 1 160 160 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 1 161 161 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 1 162 162 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 1 163 163 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 1 164 164 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 1 165 165 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 1 166 166 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 1 167 167 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 1 168 168 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 1 169 169 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 1 170 170 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 1 171 171 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 1 172 172 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 1 173 173 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 1 174 174 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 1 175 175 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 1 176 176 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 1 177 177 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 1 178 178 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 1 179 179 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 1 180 180 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 1 181 181 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 1 182 182 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 1 183 183 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 1 184 184 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 1 185 185 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 1 186 186 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 1 187 187 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 1 188 188 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 1 189 189 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 1 190 190 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 1 191 191 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 1 192 192 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 1 193 193 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 1 194 194 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 1 195 195 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 2 196 197 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 2 198 199 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 2 200 201 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 2 202 203 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 2 204 205 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 2 206 207 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 1 208 208 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 1 209 209 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 1 210 210 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 1 211 211 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 1 212 212 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 1 213 213 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 1 214 214 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 1 215 215 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 1 216 216 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 1 217 217 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 1 218 218 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 1 219 219 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 1 220 220 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 1 221 221 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 1 222 222 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 1 223 223 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 1 224 224 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 1 225 225 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 1 226 226 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 1 227 227 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 1 228 228 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 1 229 229 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 1 230 230 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 1 231 231 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 1 232 232 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 1 233 233 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 1 234 234 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 1 235 235 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 1 236 236 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 1 237 237 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 1 238 238 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 1 239 239 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 1 240 240 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 1 241 241 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 1 242 242 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 1 243 243 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 1 244 244 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 1 245 245 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 1 246 246 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 1 247 247 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 1 248 248 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 1 249 249 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 1 250 250 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 1 251 251 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 1 252 252 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 1 253 253 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 1 254 254 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 1 255 255 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 1 256 256 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 1 257 257 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 1 258 258 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 1 259 259 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 1 260 260 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 1 261 261 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 1 262 262 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 1 263 263 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 1 264 264 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 1 265 265 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 1 266 266 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 1 267 267 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 1 268 268 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 1 269 269 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 1 270 270 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 1 271 271 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 1 272 272 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 1 273 273 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 1 274 274 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 1 275 275 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 2 276 277 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 2 278 279 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 2 280 281 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 2 282 283 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 2 284 285 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 2 286 287 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 2 288 289 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 2 290 291 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 1 292 292 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 1 293 293 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 1 294 294 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 1 295 295 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 1 296 296 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 1 297 297 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 1 298 298 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 1 299 299 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 1 300 300 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 1 301 301 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 1 302 302 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 1 303 303 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 2 304 305 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 2 306 307 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 2 308 309 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 2 310 311 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 2 312 313 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 2 314 315 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 2 316 317 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 2 318 319 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 2 320 321 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 2 322 323 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 2 324 325 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 2 326 327 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 2 328 329 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 2 330 331 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 2 332 333 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 2 334 335 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 2 336 337 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 2 338 339 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 2 340 341 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 2 342 343 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 2 344 345 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 2 346 347 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 2 348 349 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 2 350 351 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 1 352 352 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 1 353 353 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 1 354 354 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 1 355 355 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 1 356 356 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 1 357 357 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 1 358 358 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 1 359 359 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 1 360 360 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 1 361 361 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 1 362 362 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 1 363 363 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 1 364 364 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 1 365 365 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 1 366 366 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 1 367 367 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 1 368 368 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 1 369 369 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 1 370 370 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 1 371 371 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 1 372 372 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 1 373 373 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 1 374 374 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 1 375 375 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 1 376 376 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 1 377 377 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 1 378 378 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 1 379 379 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 1 380 380 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 1 381 381 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 1 382 382 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 1 383 383 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 1 384 384 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 1 385 385 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 1 386 386 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 1 387 387 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 1 388 388 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 1 389 389 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 1 390 390 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 1 391 391 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 1 392 392 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 1 393 393 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 1 394 394 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 1 395 395 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 1 396 396 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 1 397 397 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 1 398 398 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 1 399 399 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 1 400 400 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 1 401 401 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 1 402 402 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 1 403 403 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 1 404 404 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 2 405 406 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 2 407 408 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 2 409 410 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 2 411 412 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 2 413 414 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 2 415 416 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 2 417 418 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 2 419 420 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 2 421 422 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 2 423 424 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 2 425 426 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 2 427 428 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 2 429 430 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 2 431 432 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 2 433 434 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 2 435 436 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 2 437 438 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 2 439 440 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 2 441 442 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 2 443 444 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 2 445 446 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 2 447 448 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 2 449 450 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 2 451 452 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 2 453 454 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 2 455 456 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 2 457 458 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 2 459 460 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 2 461 462 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 2 463 464 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 2 465 466 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 2 467 468 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 2 469 470 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 2 471 472 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 2 473 474 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 1 475 475 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 1 476 476 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 1 477 477 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 1 478 478 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 1 479 479 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 2 480 481 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 2 482 483 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 2 484 485 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 2 486 487 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 2 488 489 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 2 490 491 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 2 492 493 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 2 494 495 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 2 496 497 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 2 498 499 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 2 500 501 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 2 502 503 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 2 504 505 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 2 506 507 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 2 508 509 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 2 510 511 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 2 512 513 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 2 514 515 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 2 516 517 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 2 518 519 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 2 520 521 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 2 522 523 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 2 524 525 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 2 526 527 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 2 528 529 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 2 530 531 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 2 532 533 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 1 534 534 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 1 535 535 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 1 536 536 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 1 537 537 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 1 538 538 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 1 539 539 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 1 540 540 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 1 541 541 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 1 542 542 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 1 543 543 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 1 544 544 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 1 545 545 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 1 546 546 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 1 547 547 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 1 548 548 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 1 549 549 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 1 550 550 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 1 551 551 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 1 552 552 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 1 553 553 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 2 554 555 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 2 556 557 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 2 558 559 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 2 560 561 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 2 562 563 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 2 564 565 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 2 566 567 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 2 568 569 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 2 570 571 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 2 572 573 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 2 574 575 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 2 576 577 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 2 578 579 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 2 580 581 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 2 582 583 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 2 584 585 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 2 586 587 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 2 588 589 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 2 590 591 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 2 592 593 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 2 594 595 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 2 596 597 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 1 598 598 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 1 599 599 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 1 600 600 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 1 601 601 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 1 602 602 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 1 603 603 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 1 604 604 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 1 605 605 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 1 606 606 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 1 607 607 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 1 608 608 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 1 609 609 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 1 610 610 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 1 611 611 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 1 612 612 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 1 613 613 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 1 614 614 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 1 615 615 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 1 616 616 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 1 617 617 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 1 618 618 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 1 619 619 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 1 620 620 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 1 621 621 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 1 622 622 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 1 623 623 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 1 624 624 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 1 625 625 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 1 626 626 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 1 627 627 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 1 628 628 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 1 629 629 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 1 630 630 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 1 631 631 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 1 632 632 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 1 633 633 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 1 634 634 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 1 635 635 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 2 636 637 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 2 638 639 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 2 640 641 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 2 642 643 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 2 644 645 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 2 646 647 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 1 648 648 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 1 649 649 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 1 650 650 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 1 651 651 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 1 652 652 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 1 653 653 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 1 654 654 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 1 655 655 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 1 656 656 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 1 657 657 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 1 658 658 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 1 659 659 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 1 660 660 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 1 661 661 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 1 662 662 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 1 663 663 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 1 664 664 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 1 665 665 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 1 666 666 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 1 667 667 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 1 668 668 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 1 669 669 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

COMMERCIAL

Version Date Data Element Change Summary
MY2026 5/20/2026 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.
Clarification 1 5/20/2026 Multiple Race: Stratification verbiage update: removed "Some"from "Some Other Race" to align with NCQA/HEDIS updates.

Asian American Subgroups: Added Middle Eastern or North African in element description to align with NCQA/HEDIS updates.

Asian American Subgroups: Removed "Some" from "Some Other Race" in element description to align with NCQA/HEDIS updates.

Native Hawaiian/Pacific Islander Subgroups: Added Middle Eastern or North African in element description to align with NCQA/HEDIS updates.

Native Hawaiian/Pacific Islander Subgroups: Removed "Some" from "Some Other Race" in element description to align with NCQA/HEDIS updates.

Middle Eastern or North African Subgroups: Added Middle Eastern or North African Subgroups field to align with NYS mandates.