Medicaid MY2026 PLD File Specifications

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Revision date: 3/10/2026

MEDICAID

MEASURE COLUMN LENGTH COLUMN START COLUMN END FIELD SPECIFICATION
GENERAL INFO 1 1 1 Record Identifier Use the tilde (~) character to start the line.
GENERAL INFO 5 2 6 Submission ID The unique identifier assigned by NCQA for summary-level data submission
GENERAL INFO 18 7 24 Product Line MEDICAID, HIVSNP, HARP
GENERAL INFO 30 25 54 Member ID Member ID should be Medicaid Client ID Number (CIN).
For Medicaid: AA#####A
For CHP: 0####### or 5#######
GENERAL INFO 9 55 63 Member Attributed Practice Tax ID# Enter the 9-digit Federally assigned Tax Identification Number for the Practice of the member's provider. Populate with valid TINs only. If unavailable or invalid set to '999999999'
GENERAL INFO 10 64 73 Member Attributed Physician NPI Populate with valid NPIs only. This is the unique 10-digit National Provider Identifier (NPI) of the provider/organization the member was serviced by during the reporting period. This should be a provider that had frequent contact with the member and, therefore, could potentially affect the need for hospitalization or not. For more details regarding NPI reporting, refer to the 2026 NYS Patient-Level Detail (PLD) File Specifications section of the MY2026 QARR Technical Specifications Manual.
GENERAL INFO 8 74 81 Member Date of birth The birth date must contain 8 digits with month, day, year
Enter: MMDDYYYY (e.g., September 20, 1983 would be 09201983)
GENERAL INFO 2 82 83 Member Months The member month contribution this member adds according to the Enrollment by Product Line measure. Valid values are between 0 - 12.
GENERAL INFO 1 84 84 Sex Enter:
The sex assigned at birth
'F' member is female
'M' member is male
'O' includes, but is not limited to: missing, refused, and unspecified
No other characters are allowed
GENERAL INFO 2 85 86 Race Enter the member's race:
01=White
02=Black or African American
03=American Indian or Alaskan Native
04=Asian
05=Native Hawaiian or Pacific Islander
06=Middle Eastern or North African
07=Some Other Race
08=Two or More Races
09=Asked But No Answer
10=Unknown
GENERAL INFO 1 87 87 Ethnicity Enter the Member's ethnicity:
1=Hispanic or Latino
2=Non-Hispanic or Latino
9=Unknown
0=Asked but not answered
GENERAL INFO 2 88 89 Asian American Subgroups If member's race is White, Black or African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, Two Or More Races, Some Other Race, Asked But No Answer, or Unknown then Enter:
00=Not Applicable

If member's race is Asian , then identify the specific subgroup:
01=Chinese
02=Japanese
03=Filipino
04=Korean
05=Vietnamese
06=Asian Indian
07=Laotian
08=Cambodian
09=Bangladeshi
10=Hmong
11=Indonesian
12=Malaysian
13=Pakistani
14=Sri Lankan
15=Taiwanese
16=Nepalese
17=Burmese
18=Thai
19=Two or more subgroups
20=Unknown Asian Subgroup
21=Declined
22=Other Asian Subgroup
GENERAL INFO 1 90 90 Native Hawaiian/Pacific Islander Subgroups If member's race is White, Black or African American, American Indian/Alaskan Native, Asian, Two Or More Races, Some Other Race, Asked But No Answer, or Unknown then Enter:
0=Not Applicable
If member's race is Native Hawaiian/Pacific Islander then identify the specific subgroup:
1=Hawaiian
2=Guamanian/Chamorro
3=Samoan
4=Fijian
5=Tongan
6=Two or more subgroups
7=Unknown Native Hawaiian/Pacific Islander Subgroup
8=Declined
9=Other Native Hawaiian/Pacific Islander Subgroup
GENERAL INFO 3 91 93 Language Spoken Enter the member's spoken language:
001=English
*For all other languages other than English see the Language Value Set on the: Managed Care > Information for Health Plans > Quality Assurance Reporting Requirements (QARR)> 2026> NYS QARR Language Value Set webpage.
197=Unknown
199=Declined
GENERAL INFO 3 94 96 County of Residence Enter the 3-digit county FIPS code for each member's residence of county. For more details regarding FIPS Codes, refer to the FIPS County Codes section of the MY2026 QARR Technical Specifications Manual.
### = FIPS Code
000= Outside of NYS
999 = Unknown
AAB 2 97 98 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 99 100 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 2 101 102 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 2 103 104 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 2 105 106 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 2 107 108 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 2 109 110 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 2 111 112 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 2 113 114 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 2 115 116 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 2 117 118 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 2 119 120 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 2 121 122 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 2 123 124 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 2 125 126 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 2 127 128 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 2 129 130 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 2 131 132 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 2 133 134 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 2 135 136 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 2 137 138 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 2 139 140 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 1 141 141 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 1 142 142 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 1 143 143 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 1 144 144 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 1 145 145 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 1 146 146 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 1 147 147 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 1 148 148 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 1 149 149 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 1 150 150 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 1 151 151 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 1 152 152 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 1 153 153 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 1 154 154 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 1 155 155 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 1 156 156 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 1 157 157 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 1 158 158 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 1 159 159 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 1 160 160 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 1 161 161 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 1 162 162 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 1 163 163 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 1 164 164 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 1 165 165 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 1 166 166 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 1 167 167 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 1 168 168 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 1 169 169 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 1 170 170 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 1 171 171 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 1 172 172 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 1 173 173 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 1 174 174 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 1 175 175 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 1 176 176 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 1 177 177 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 1 178 178 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 1 179 179 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 1 180 180 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 1 181 181 Denominator 1: for 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 1 182 182 Numerator 1: for 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 1 183 183 Denominator 2: for Unhealthy Alcohol Use Screening and Follow-Up (ASF-E): 18-44 years Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
ASF-E 1 184 184 Numerator 2: for 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 Denominator 1: for 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 1 186 186 Numerator 1: for 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 1 187 187 Denominator 2: for 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 1 188 188 Numerator 2: for 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 1 189 189 Denominator 1: for 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 1 190 190 Numerator 1: for 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 1 191 191 Denominator 2: for 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 1 192 192 Numerator 2: for 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 2 193 194 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 2 195 196 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 2 197 198 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 2 199 200 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 2 201 202 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 2 203 204 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 1 205 205 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 1 206 206 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 1 207 207 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 1 208 208 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 1 209 209 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 1 210 210 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-E 1 211 211 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 1 212 212 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
BPD 1 213 213 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 1 214 214 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
CBP 1 215 215 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 1 216 216 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 1 217 217 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 1 218 218 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 1 219 219 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 1 220 220 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 1 221 221 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 1 222 222 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 1 223 223 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 1 224 224 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 1 225 225 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 1 226 226 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 1 227 227 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 1 228 228 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 1 229 229 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 1 230 230 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 1 231 231 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 1 232 232 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 1 233 233 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 1 234 234 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 1 235 235 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 1 236 236 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 1 237 237 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 1 238 238 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 1 239 239 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 1 240 240 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 1 241 241 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 1 242 242 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 1 243 243 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 1 244 244 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 1 245 245 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 1 246 246 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 1 247 247 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 1 248 248 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 1 249 249 Denominator for Cardiac Rehabilitation Initiation 18-64 (CRE) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
CRE 1 250 250 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 1 251 251 Denominator for Cardiac Rehabilitation Initiation 65+ (CRE) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
CRE 1 252 252 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 1 253 253 Denominator for Cardiac Rehabilitation Engagement 1 18-64 (CRE) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
CRE 1 254 254 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 1 255 255 Denominator for Cardiac Rehabilitation Engagement 1 65+ (CRE) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
CRE 1 256 256 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 1 257 257 Denominator for Cardiac Rehabilitation Engagement 2 18-64 (CRE) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
CRE 1 258 258 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 1 259 259 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 1 260 260 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 1 261 261 Denominator for Cardiac Rehabilitation Achievement 18-64 (CRE) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
CRE 1 262 262 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 1 263 263 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 1 264 264 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 1 265 265 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 1 266 266 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 1 267 267 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 1 268 268 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 1 269 269 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 1 270 270 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 1 271 271 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 1 272 272 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 2 273 274 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 2 275 276 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 2 277 278 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 2 279 280 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 2 281 282 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 2 283 284 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 2 285 286 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 2 287 288 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 1 289 289 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
DMH 1 290 290 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 1 291 291 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 1 292 292 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 1 293 293 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 1 294 294 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 1 295 295 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 2 296 297 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 2 298 299 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 2 300 301 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 2 302 303 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 2 304 305 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 2 306 307 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 2 308 309 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 2 310 311 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 2 312 313 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 2 314 315 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 2 316 317 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 2 318 319 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 2 320 321 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 2 322 323 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 2 324 325 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 2 326 327 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 2 328 329 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 2 330 331 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 2 332 333 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 2 334 335 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 2 336 337 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 2 338 339 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 2 340 341 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 2 342 343 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
DEV-N 1 344 344 Numerator (DEV-N): First Year Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
DEV-N 1 345 345 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 1 346 346 Numerator (DEV-N): Second Year Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
DEV-N 1 347 347 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 1 348 348 Numerator (DEV-N): Third Year Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
DRR-E 1 349 349 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 1 350 350 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 1 351 351 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 1 352 352 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 1 353 353 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 1 354 354 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 1 355 355 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 1 356 356 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 1 357 357 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 1 358 358 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 1 359 359 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 1 360 360 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 1 361 361 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 1 362 362 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 1 363 363 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 1 364 364 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 1 365 365 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 1 366 366 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 1 367 367 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 1 368 368 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 1 369 369 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 1 370 370 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 1 371 371 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 1 372 372 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 1 373 373 Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 12-17 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
DSF-E 1 374 374 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 1 375 375 Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 18-64 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
DSF-E 1 376 376 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 1 377 377 Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 65+ years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
DSF-E 1 378 378 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 1 379 379 Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 12-17 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
DSF-E 1 380 380 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 1 381 381 Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 18-64 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
DSF-E 1 382 382 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 1 383 383 Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 65+ years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
DSF-E 1 384 384 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 1 385 385 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 1 386 386 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 1 387 387 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 1 388 388 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 1 389 389 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 1 390 390 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 1 391 391 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 1 392 392 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 1 393 393 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 1 394 394 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 1 395 395 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 1 396 396 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 1 397 397 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 1 398 398 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 1 399 399 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 1 400 400 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 1 401 401 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 2 402 403 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 2 404 405 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 2 406 407 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 2 408 409 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 2 410 411 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 2 412 413 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 2 414 415 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 2 416 417 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 2 418 419 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 2 420 421 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 OR the information is missing
FUH 2 422 423 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 2 424 425 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 2 426 427 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 2 428 429 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 2 430 431 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 2 432 433 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 2 434 435 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 2 436 437 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 2 438 439 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 2 440 441 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 2 442 443 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 2 444 445 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 2 446 447 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 2 448 449 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 2 450 451 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 2 452 453 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 2 454 455 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 2 456 457 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 2 458 459 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 2 460 461 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 2 462 463 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 2 464 465 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 2 466 467 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 2 468 469 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 2 470 471 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 1 472 472 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 1 473 473 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 1 474 474 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 1 475 475 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 1 476 476 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 2 477 478 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 2 479 480 Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment 13-17 year olds Alcohol Use Disorder Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
IET 2 481 482 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 2 483 484 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 2 485 486 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 2 487 488 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 2 489 490 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 2 491 492 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 2 493 494 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 2 495 496 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 2 497 498 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 2 499 500 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 2 501 502 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 2 503 504 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 2 505 506 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 2 507 508 Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 years Other substance use disorder Enter:
The number of times this member is in denominator
'0' if the member is not in the denominator
IET 2 509 510 Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 years Other substance use disorder Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
IET 2 511 512 Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 years Other substance use disorder Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
IET 2 513 514 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 2 515 516 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 2 517 518 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 2 519 520 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 2 521 522 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 2 523 524 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 2 525 526 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 2 527 528 Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of Other substance use disorder, 65+ other substance use disorder Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
IET 2 529 530 Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of other substance use disorder 65+ other substance use disorder Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
IMA-E 1 531 531 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 1 532 532 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 1 533 533 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 1 534 534 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 1 535 535 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 1 536 536 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 1 537 537 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 1 538 538 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 1 539 539 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 1 540 540 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 1 541 541 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 1 542 542 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 1 543 543 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 1 544 544 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 1 545 545 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 1 546 546 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 1 547 547 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 1 548 548 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
OED 1 549 549 Denominator: Oral Evaluation, Dental Services (OED) - 0-2 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
OED 1 550 550 Numerator: Oral Evaluation, Dental Services (OED) - 0-2 years Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
OED 1 551 551 Denominator: Oral Evaluation, Dental Services (OED) -3-5 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
OED 1 552 552 Numerator: Oral Evaluation, Dental Services (OED) -3-5 years Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
OED 1 553 553 Denominator: Oral Evaluation, Dental Services (OED) - 6-14 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
OED 1 554 554 Numerator: Oral Evaluation, Dental Services (OED) - 6-14 years Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
OED 1 555 555 Denominator: Oral Evaluation, Dental Services (OED) - 15-20 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
OED 1 556 556 Numerator: Oral Evaluation, Dental Services (OED) - 15-20 years Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
PBH 1 557 557 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 1 558 558 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 2 559 560 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 2 561 562 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 2 563 564 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 2 565 566 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 2 567 568 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 2 569 570 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 2 571 572 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 2 573 574 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 2 575 576 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 2 577 578 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 2 579 580 Numerator for Prenatal Depression Screening and Follow-Up-Electronic (PND-E): Numerator 2—Follow-Up on Positive Screen Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
POA 1 581 581 Denominator for Use of Pharmacotherapy for Alcohol Use or Dependence (POA) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
POA 1 582 582 Numerator for Use of Pharmacotherapy for Alcohol Use or Dependence (POA) Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
POD 2 583 584 Denominator for Pharmacotherapy for Opioid Use Disorder (POD): 16-64 years Enter:
The number of times this member is in the denominator
'0' if the member is not in the denominator
POD 2 585 586 Numerator for Pharmacotherapy for Opioid Use Disorder (POD): 16-64 years Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
POD 2 587 588 Denominator for Pharmacotherapy for Opioid Use Disorder (POD): 65+ years Enter:
The number of times this member is in the denominator
'0' if the member is not in the denominator
POD 2 589 590 Numerator for Pharmacotherapy for Opioid Use Disorder (POD): 65+ years Enter:
The number of times this member is in the numerator
'0' if the member is not in the numerator OR the information is missing
POD-N 1 591 591 Denominator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD-N) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
POD-N 1 592 592 Numerator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD-N) Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
PPC 2 593 594 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 2 595 596 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 2 597 598 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 2 599 600 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 2 601 602 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 2 603 604 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 2 605 606 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 1 607 607 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 1 608 608 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
SMC 1 609 609 Denominator for Cardiovascular Monitoring for People With
Cardiovascular Disease and Schizophrenia (SMC)		 Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
SMC 1 610 610 Numerator for Cardiovascular Monitoring for People With
Cardiovascular Disease and Schizophrenia (SMC)		 Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
SMD 1 611 611 Denominator for Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
SMD 1 612 612 Numerator for Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD) Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
SNS-E 1 613 613 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 1 614 614 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 1 615 615 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 1 616 616 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 1 617 617 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 1 618 618 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 1 619 619 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 1 620 620 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 1 621 621 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 1 622 622 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 1 623 623 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 1 624 624 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 1 625 625 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 1 626 626 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 1 627 627 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 1 628 628 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 1 629 629 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 1 630 630 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 1 631 631 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 1 632 632 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
SSD 1 633 633 Denominator for Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
SSD 1 634 634 Numerator for Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
TFC 1 635 635 Denominator: Topical Fluoride for Children (TFC) - 1-2 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
TFC 1 636 636 Numerator: Topical Fluoride for Children (TFC) - 1-2 years Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
TFC 1 637 637 Denominator: Topical Fluoride for Children (TFC) - 3-4 years Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
TFC 1 638 638 Numerator: Topical Fluoride for Children (TFC) - 3- 4 Years Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
TSC-E 1 639 639 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 1 640 640 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 1 641 641 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 1 642 642 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 1 643 643 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 1 644 644 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 1 645 645 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 1 646 646 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 1 647 647 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 1 648 648 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 1 649 649 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 1 650 650 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 1 651 651 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 1 652 652 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 1 653 653 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 1 654 654 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 2 655 656 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 2 657 658 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 2 659 660 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 2 661 662 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 2 663 664 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 2 665 666 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 1 667 667 Denominator for Well-Child Visits in the First 15 Months (W30). Children who turned 15 months old during MY: Six or more well-child visits Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
W30 1 668 668 Numerator for Well-Child Visits in the First 15 Months (W30). Children who turned 15 months old during MY: Six or more well-child visits Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
W30 1 669 669 Denominator for Well-Child Visits for Age 15 Months-30 Months (W30). Children who turned 30 months old during the MY: Two or more well-child visits. Enter:
'1' if this member is in the denominator
'0' if this member is not in the denominator
W30 1 670 670 Numerator for Well-Child Visits for Age 15 Months-30 Months (W30). Children who turned 30 months old during the MY: Two or more well-child visits. Enter:
'1' if this member is in the numerator
'0' if this member is not in the numerator OR the information for this member is missing
WCC 1 671 671 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 1 672 672 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 1 673 673 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 1 674 674 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 1 675 675 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 1 676 676 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 1 677 677 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 1 678 678 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 1 679 679 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 1 680 680 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 1 681 681 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 1 682 682 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 1 683 683 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 1 684 684 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 1 685 685 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 1 686 686 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 1 687 687 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 1 688 688 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

MEDICAID

Version Date Data Element Change Summary
MY2026 3/10/2026 Multiple Member Attributed Practice Tax ID# - REQUIRED for MY2026.

Member Attributed Physician NPI - REQUIRED for MY2026.

Race - HEDIS race reporting was updated to include ten race stratifications, as defined by the Office of Management and Budget (OMB) Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. To align with HEDIS updated categories, Middle Eastern or North African (MENA) has been added as a Race category.

Language Spoken: Updated Value Set and link to webpage.

County of Residence: Updated reference material information and link.

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 ECDS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly

Statin Therapy for Patients With Diabetes (SPD): Has been retired by HEDIS for MY2026 and removed as a required measure. Column numbering has been updated accordingly.

Statin Therapy for Patients With Diabetes (SPD-E): Is a new HEDIS EDCS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly.

Tobacco Use Screening and Cessation Intervention (TSC-E): Is a new HEDIS measure for MY2026 and has been added as a required ECDS measure. Column numbering has been updated accordingly.